Healthcare Provider Details

I. General information

NPI: 1558298042
Provider Name (Legal Business Name): SYEDA MARIAM BATOOL GARDEZI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AKRON CHILDREN'S HOSPITAL ONE PERKINS SQUARE
AKRON OH
44308
US

IV. Provider business mailing address

ONE PERKINS SQUARE
AKRON OH
44308
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-1000
  • Fax:
Mailing address:
  • Phone: 971-506-4975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number57.260621
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: