Provider Demographics
NPI:1548980295
Name:SYED, ZAIN MUHAMMAD (PHARMD)
Entity type:Individual
Prefix:
First Name:ZAIN
Middle Name:MUHAMMAD
Last Name:SYED
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15200 74TH ST
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-8837
Mailing Address - Country:US
Mailing Address - Phone:262-344-3354
Mailing Address - Fax:
Practice Address - Street 1:15200 74TH ST
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-8837
Practice Address - Country:US
Practice Address - Phone:262-344-3354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16810183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIS300-9938-6214-00OtherDRIVER LICENSE