Healthcare Provider Details

I. General information

NPI: 1730740341
Provider Name (Legal Business Name): SYED HAMZA WAHEED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 RIVERSIDE DR
BINGHAMTON NY
13905-4246
US

IV. Provider business mailing address

169 RIVERSIDE DR
BINGHAMTON NY
13905-4246
US

V. Phone/Fax

Practice location:
  • Phone: 607-798-7100
  • Fax: 607-352-1710
Mailing address:
  • Phone: 607-798-7100
  • Fax: 607-352-1710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number330125
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: