Healthcare Provider Details

I. General information

NPI: 1508489766
Provider Name (Legal Business Name): SYED AHMED DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2020
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5303 HARRY HINES BLVD
DALLAS TX
75390-7294
US

IV. Provider business mailing address

5303 HARRY HINES BLVD
DALLAS TX
75390-7294
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-8300
  • Fax:
Mailing address:
  • Phone: 214-645-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberV2005
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: