Provider Demographics
NPI:1235342098
Name:SYED, HOZAIR MOHAMMED (MD)
Entity Type:Individual
Prefix:
First Name:HOZAIR
Middle Name:MOHAMMED
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SYED
Other - Middle Name:
Other - Last Name:HOZAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3220 S HIGUERA ST
Mailing Address - Street 2:STE 205
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-6987
Mailing Address - Country:US
Mailing Address - Phone:805-541-5055
Mailing Address - Fax:
Practice Address - Street 1:132 LIMERICK LN
Practice Address - Street 2:
Practice Address - City:PISMO BEACH
Practice Address - State:CA
Practice Address - Zip Code:93449-3299
Practice Address - Country:US
Practice Address - Phone:805-773-4913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1110582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry