Provider Demographics
NPI:1093761926
Name:ZAMIR, SYED S (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:S
Last Name:ZAMIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1770 IOWA AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-7401
Mailing Address - Country:US
Mailing Address - Phone:419-251-4340
Mailing Address - Fax:
Practice Address - Street 1:2213 CHERRY ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2603
Practice Address - Country:US
Practice Address - Phone:419-251-4340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360849512085R0204X, 2085R0202X
TXN84762085R0202X
OH350902862085R0202X
DEC1-00273472085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4220154Medicare PIN
OH4220155Medicare PIN
OH4220152Medicare PIN
OH4220153Medicare PIN
OH4220151Medicare PIN
OH4220156Medicare PIN
OH4220154Medicare PIN
OH4220156Medicare PIN
MO39198011OtherBCBS KANSAS CITY
MO204780944Medicaid
OH4220155Medicare PIN
MOG14483Medicare UPIN
MOY02E461Medicare PIN