Provider Demographics
NPI:1013176411
Name:GARDEZI, SYEDA ZAHRA BATOOL (MD)
Entity Type:Individual
Prefix:
First Name:SYEDA ZAHRA
Middle Name:BATOOL
Last Name:GARDEZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SYEDA ZAHRA
Other - Middle Name:BATOOL
Other - Last Name:GARDEZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:G58
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-636-2821
Mailing Address - Fax:216-444-7360
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:G58
Practice Address - City:CLEVELAND
Practice Address - State:NY
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-636-2821
Practice Address - Fax:216-444-7360
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.095525207L00000X, 207LC0200X
NY278761207L00000X, 207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY278761OtherNY MEDICAL LICENSE
OH35.095525OtherOHIO MEDICAL LICENSE
FG1929340OtherDEA