Provider Demographics
NPI:1699478552
Name:HUZAIFA A SEIDU, MD LLC
Entity type:Organization
Organization Name:HUZAIFA A SEIDU, MD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:HUZAIFA
Authorized Official - Middle Name:ABUKARI
Authorized Official - Last Name:SEIDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-677-3782
Mailing Address - Street 1:1557 WHITFIELD ST SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-2270
Mailing Address - Country:US
Mailing Address - Phone:678-677-3782
Mailing Address - Fax:
Practice Address - Street 1:931 N JEFFERSON ST NE
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-2930
Practice Address - Country:US
Practice Address - Phone:678-677-3782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty