Provider Demographics
NPI:1083071773
Name:IRSHAD SYED MD LLC
Entity Type:Organization
Organization Name:IRSHAD SYED MD LLC
Other - Org Name:MARIETTA FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:IRSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-741-7185
Mailing Address - Street 1:3535 ROSWELL RD STE 20
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6252
Mailing Address - Country:US
Mailing Address - Phone:678-741-7185
Mailing Address - Fax:678-741-7168
Practice Address - Street 1:3535 ROSWELL RD STE 20
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6252
Practice Address - Country:US
Practice Address - Phone:678-741-7185
Practice Address - Fax:678-741-7168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care