Provider Demographics
NPI:1245868322
Name:MOHIUDDIN, ZAIN SYED (DO)
Entity type:Individual
Prefix:
First Name:ZAIN
Middle Name:SYED
Last Name:MOHIUDDIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HURLEY PLAZA
Mailing Address - Street 2:ATTN PROFESSIONAL BILLING DEPT
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-5902
Mailing Address - Country:US
Mailing Address - Phone:810-262-9255
Mailing Address - Fax:810-262-7317
Practice Address - Street 1:2 HURLEY PLZ STE 110
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-5904
Practice Address - Country:US
Practice Address - Phone:810-262-9191
Practice Address - Fax:810-262-7516
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-01
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH34.015983207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program