Individual
MOHIUDDIN AHMED SYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
058786
GA
207R00000X
Internal Medicine Physician
OS 9369
FL
208M00000X
Hospitalist Physician
Primary
58786
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058786
LICENSE
GA
01
—
13649
BCBS
FL
01
—
OS 9369
MEDICAL LICENSE
FL
Enumeration date
11/14/2006
Last updated
03/03/2023
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