Healthcare Provider Details

I. General information

NPI: 1902489461
Provider Name (Legal Business Name): SYED OMAIR NADEEM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 CLIFTON RD NE
ATLANTA GA
30322-1059
US

IV. Provider business mailing address

285 MAYSON AVE NE UNIT 729
ATLANTA GA
30307-3040
US

V. Phone/Fax

Practice location:
  • Phone: 404-727-4310
  • Fax:
Mailing address:
  • Phone: 404-932-3896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number13478
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: