Provider Demographics
NPI:1942665351
Name:KHAN, SYED ZIAUDDIN AHMED (PHARMD, BCSCP)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:ZIAUDDIN AHMED
Last Name:KHAN
Suffix:
Gender:M
Credentials:PHARMD, BCSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4383 MEDICAL DR STE 2051
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3307
Mailing Address - Country:US
Mailing Address - Phone:210-593-2654
Mailing Address - Fax:210-593-5884
Practice Address - Street 1:4383 MEDICAL DR STE 2051
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3307
Practice Address - Country:US
Practice Address - Phone:210-593-2654
Practice Address - Fax:210-593-5884
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-30
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX537321835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist