Provider Demographics
NPI:1093134744
Name:ALI, SYED FAIZAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:FAIZAN
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:470 NORTHSIDE CHEROKEE BLVD STE 490
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-8033
Mailing Address - Country:US
Mailing Address - Phone:678-538-2167
Mailing Address - Fax:678-538-2165
Practice Address - Street 1:470 NORTHSIDE CHEROKEE BLVD STE 490
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-8033
Practice Address - Country:US
Practice Address - Phone:678-538-2167
Practice Address - Fax:678-538-2165
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA945762084N0400X, 2084N0400X
ARE-122642084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology