Healthcare Provider Details

I. General information

NPI: 1306018007
Provider Name (Legal Business Name): RASHAD H KHAZI SYED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 N LAKE DRIVE, SUITE 206 CSMCP CARDIAC RHYTHM SPECIALISTS
MILWAUKEE WI
53211-2984
US

IV. Provider business mailing address

4425 N PORT WASHINGTON RD CSMCP CLINIC CREDENTIALING
GLENDALE WI
53212-1082
US

V. Phone/Fax

Practice location:
  • Phone: 414-298-7280
  • Fax: 248-358-5125
Mailing address:
  • Phone: 414-326-2218
  • Fax: 414-326-2208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number62574
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: