Provider Demographics
NPI:1326023375
Name:AHMED, SYED E (MD)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:E
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6909 ROYALTON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-2478
Mailing Address - Country:US
Mailing Address - Phone:440-617-1823
Mailing Address - Fax:440-617-0884
Practice Address - Street 1:6909 ROYALTON RD
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-2474
Practice Address - Country:US
Practice Address - Phone:216-363-2538
Practice Address - Fax:216-694-4604
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35 0822342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2567995Medicaid
OH2567995Medicaid
OH7332501Medicare PIN