Provider Demographics
NPI:1487041653
Name:SEYYEDI, MOHAMMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:
Last Name:SEYYEDI
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 1:1720 PEACHTREE ST NW STE 200
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2440
Mailing Address - Country:US
Mailing Address - Phone:404-351-5045
Mailing Address - Fax:404-355-0691
Practice Address - Street 1:1720 PEACHTREE ST NW STE 200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-2440
Practice Address - Country:US
Practice Address - Phone:404-351-5045
Practice Address - Fax:404-355-0691
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2024-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC7-0005830207YX0901X
MN25826207YX0901X
GA95100207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology