Provider Demographics
NPI:1073671830
Name:ELSAYED, RAYMOND FREDERICK (DO)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:FREDERICK
Last Name:ELSAYED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:RAYMOND
Other - Middle Name:FREDERICK
Other - Last Name:ELSAYED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:1585 3RD ST
Mailing Address - Street 2:BAYNES JONES ARMY COMMUNITY HOSPITAL
Mailing Address - City:FORT POLK
Mailing Address - State:LA
Mailing Address - Zip Code:71459-5102
Mailing Address - Country:US
Mailing Address - Phone:337-531-3047
Mailing Address - Fax:337-531-3551
Practice Address - Street 1:1585 3RD ST
Practice Address - Street 2:BAYNES JONES ARMY COMMUNITY HOSPITAL
Practice Address - City:FORT POLK
Practice Address - State:LA
Practice Address - Zip Code:71459-5102
Practice Address - Country:US
Practice Address - Phone:337-531-3047
Practice Address - Fax:337-531-3551
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI49022-021207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine