Provider Demographics
NPI:1679761241
Name:BADAR H SYED MD, PC
Entity Type:Organization
Organization Name:BADAR H SYED MD, PC
Other - Org Name:GWINNETT NEUROLOGY & SLEEP DISORDERS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BADAR
Authorized Official - Middle Name:H
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-972-3002
Mailing Address - Street 1:2121 FOUNTAIN DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-2016
Mailing Address - Country:US
Mailing Address - Phone:770-972-3002
Mailing Address - Fax:770-985-6392
Practice Address - Street 1:2121 FOUNTAIN DR
Practice Address - Street 2:SUITE G
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-2016
Practice Address - Country:US
Practice Address - Phone:770-972-3002
Practice Address - Fax:770-985-6392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA049385174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP4791Medicare PIN