Provider Demographics
NPI:1770895864
Name:SYED, KIRIN K (DO)
Entity type:Individual
Prefix:DR
First Name:KIRIN
Middle Name:K
Last Name:SYED
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4725 N FEDERAL HWY # 504
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4603
Mailing Address - Country:US
Mailing Address - Phone:954-267-6780
Mailing Address - Fax:
Practice Address - Street 1:4725 N FEDERAL HWY STE 504
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4603
Practice Address - Country:US
Practice Address - Phone:954-267-6780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09274200208800000X
FLOS13235208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL151HHOtherBCBS
FLIG815ZOtherMEDICARE - BROWARD COUNTY
FLP1035724OtherFREEDOM
FLP01558566OtherRR MEDICARE
FL1175475OtherWELLCARE
FL40760OtherMEDICA
FL4809004OtherAETNA
FLP01793464OtherSIMPLY HEALTHCARE
FLP971498OtherOPTIMUM
FL385457OtherAVMED
FL3145516OtherCIGNA
FLIG815YOtherMEDICARE - DADE COUNTY