Provider Demographics
NPI:1568499390
Name:SYED, IRSHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:IRSHAD
Middle Name:
Last Name:SYED
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 1:3535 ROSWELL RD STE 20
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6252
Mailing Address - Country:US
Mailing Address - Phone:678-741-7185
Mailing Address - Fax:678-741-7168
Practice Address - Street 1:3535 ROSWELL RD STE 20
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6252
Practice Address - Country:US
Practice Address - Phone:678-741-7185
Practice Address - Fax:678-741-7168
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2139207Q00000X
GA58021207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1568499390Medicaid
GA1568499390Medicaid