Provider Demographics
NPI:1679974448
Name:SYED, ZEESHAN (RPH)
Entity Type:Individual
Prefix:
First Name:ZEESHAN
Middle Name:
Last Name:SYED
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13917 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5818
Mailing Address - Country:US
Mailing Address - Phone:240-558-0079
Mailing Address - Fax:
Practice Address - Street 1:13917 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5818
Practice Address - Country:US
Practice Address - Phone:240-558-0079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22695183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD22695OtherPHARMACIST