Provider Demographics
NPI:1487967527
Name:HODA, SYED TANVIR (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:TANVIR
Last Name:HODA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:STONY BROOK PATHOLOGISTS UFPC
Mailing Address - Street 2:BASIC SCIENCE TOWER LEVEL 9 RM 140E
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8691
Mailing Address - Country:US
Mailing Address - Phone:631-444-3009
Mailing Address - Fax:
Practice Address - Street 1:STONY BROOK PATHOLOGISTS UFPC
Practice Address - Street 2:BASIC SCIENCE TOWER LEVEL 9 RM 140E
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8691
Practice Address - Country:US
Practice Address - Phone:631-444-3009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2011-07-26
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY257495207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology