Healthcare Provider Details

I. General information

NPI: 1346531118
Provider Name (Legal Business Name): ZAIN ULABEDIN SYED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2011
Last Update Date: 09/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 YORK RD SUITE 301
LUTHERVILLE MD
21093-6017
US

IV. Provider business mailing address

1447 YORK ROAD SUITE 301
LUTHERVILLE MD
21093-6022
US

V. Phone/Fax

Practice location:
  • Phone: 410-252-9090
  • Fax: 410-494-7064
Mailing address:
  • Phone: 410-252-9090
  • Fax: 410-494-7064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberD0081508
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: