Healthcare Provider Details

I. General information

NPI: 1558487579
Provider Name (Legal Business Name): SHARIQ SAYEED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 WHITCHER ST NE STE 2100
MARIETTA GA
30060-1179
US

IV. Provider business mailing address

60 CHASTAIN CENTER BLVD NW STE 66
KENNESAW GA
30144-5598
US

V. Phone/Fax

Practice location:
  • Phone: 704-230-5957
  • Fax: 770-745-2290
Mailing address:
  • Phone: 770-423-0595
  • Fax: 678-391-5055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number059014
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: