Healthcare Provider Details

I. General information

NPI: 1023513264
Provider Name (Legal Business Name): ZED OMAR SEEDAT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 S YALE AVE
TULSA OK
74136-1907
US

IV. Provider business mailing address

625 S NEW BALLAS RD STE 7020
SAINT LOUIS MO
63141-8218
US

V. Phone/Fax

Practice location:
  • Phone: 918-307-5578
  • Fax:
Mailing address:
  • Phone: 314-251-6486
  • Fax: 561-955-2572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number46055
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2022017764
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: