Healthcare Provider Details

I. General information

NPI: 1164099032
Provider Name (Legal Business Name): ZAHID SYED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S 4TH ST
PHILADELPHIA PA
19147-5948
US

IV. Provider business mailing address

1401 S 31ST ST
PHILADELPHIA PA
19146-3506
US

V. Phone/Fax

Practice location:
  • Phone: 215-339-1070
  • Fax:
Mailing address:
  • Phone: 215-925-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD482450
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA12826600
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number80428
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: