Healthcare Provider Details

I. General information

NPI: 1780621581
Provider Name (Legal Business Name): SYED ABDUL ZAHIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 WOODLAND DR SUITE 100
BECKLEY WV
25801-3149
US

IV. Provider business mailing address

179 WOODLAND DR SUITE 100
BECKLEY WV
25801-3149
US

V. Phone/Fax

Practice location:
  • Phone: 304-255-6121
  • Fax: 304-255-9290
Mailing address:
  • Phone: 681-207-7206
  • Fax: 681-207-1811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number09606
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: