Provider Demographics
NPI:1033153390
Name:SYED, AHMED Z (PA)
Entity Type:Individual
Prefix:MR
First Name:AHMED
Middle Name:Z
Last Name:SYED
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 250549
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-0549
Mailing Address - Country:US
Mailing Address - Phone:214-808-3559
Mailing Address - Fax:972-377-3156
Practice Address - Street 1:6200 W PARKER RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8185
Practice Address - Country:US
Practice Address - Phone:214-808-3559
Practice Address - Fax:973-377-3156
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA0098363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS83907Medicare UPIN
TX82N973Medicare ID - Type Unspecified