Healthcare Provider Details

I. General information

NPI: 1245868322
Provider Name (Legal Business Name): ZAIN SYED MOHIUDDIN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HURLEY PLZ STE 110
FLINT MI
48503-5904
US

IV. Provider business mailing address

1 HURLEY PLAZA ATTN PROFESSIONAL BILLING DEPT
FLINT MI
48503-5902
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-9191
  • Fax: 810-262-7516
Mailing address:
  • Phone: 810-262-9255
  • Fax: 810-262-7317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101028521
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: