Provider Demographics
NPI:1710246848
Name:HAMADANI, SYEDA (MD)
Entity type:Individual
Prefix:
First Name:SYEDA
Middle Name:
Last Name:HAMADANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GWINNETT DR SW, LAWRENCEVILLE, GA 30046
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046
Mailing Address - Country:US
Mailing Address - Phone:770-910-9196
Mailing Address - Fax:770-910-9197
Practice Address - Street 1:301 GWINNETT DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-5669
Practice Address - Country:US
Practice Address - Phone:770-910-9196
Practice Address - Fax:770-910-9197
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA84919207R00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty