MEDICARE: EHTESHAM U SYED M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	14977R	LA
2	2084P0800X	Psychiatry Physician	C135207	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326020330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EHTESHAM U SYED M.D.

Provider Business Mailing Address
First Line	:	8512 VAL VERDE DR
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91304-2135
Country	:	US
Telephone Number	:	337-302-3930
Fax Number	:

Provider Business Practice Location Address
First Line	:	8512 VAL VERDE DR
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91304-2135
Country	:	US
Telephone Number	:	337-302-3930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	04/01/2024

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