Provider Demographics
NPI:1477811321
Name:AHMED, SYED TAHSIN (DO)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:TAHSIN
Last Name:AHMED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:TAHSIN
Other - Middle Name:SYED
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:6909 BENJAMIN WAY
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-1109
Mailing Address - Country:US
Mailing Address - Phone:405-694-3989
Mailing Address - Fax:
Practice Address - Street 1:7356 S TRENTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7357
Practice Address - Country:US
Practice Address - Phone:405-694-3989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1344207R00000X
TXBP10043534207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine