Provider Demographics
NPI:1629631247
Name:SYED, ABDUL-REHMAN (DO)
Entity Type:Individual
Prefix:
First Name:ABDUL-REHMAN
Middle Name:
Last Name:SYED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 S WILLOW ST APT 10305
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2162
Mailing Address - Country:US
Mailing Address - Phone:469-544-8824
Mailing Address - Fax:
Practice Address - Street 1:12700 E 19TH AVE STE C281
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2563
Practice Address - Country:US
Practice Address - Phone:303-724-4852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-18
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10067105207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine