Provider Demographics
NPI:1164574414
Name:MOHAMMED SYED .MD,PC.
Entity Type:Organization
Organization Name:MOHAMMED SYED .MD,PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-732-6125
Mailing Address - Street 1:5031 VILLA LINDE PKWY
Mailing Address - Street 2:SUITE 21
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3446
Mailing Address - Country:US
Mailing Address - Phone:810-732-6125
Mailing Address - Fax:
Practice Address - Street 1:5031 VILLA LINDE PKWY
Practice Address - Street 2:SUITE 21
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3446
Practice Address - Country:US
Practice Address - Phone:810-732-6125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301061253261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4349534Medicaid
ON38110Medicare ID - Type Unspecified
MI4349534Medicaid