Individual
SHAHID SYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1335 CYPRESS ST STE 205, SAN DIMAS, CA 91773-3538
(909) 402-2777
Mailing address
1335 CYPRESS ST STE 205, SAN DIMAS, CA 91773-3538
(909) 542-2777
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A150697
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SS3232267556
—
CA
Enumeration date
04/21/2015
Last updated
05/08/2022
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