Provider Demographics
NPI:1073805461
Name:ALSAYED, GHADA M (MD)
Entity Type:Individual
Prefix:
First Name:GHADA
Middle Name:M
Last Name:ALSAYED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2323 MEMORIAL AVENUE
Mailing Address - Street 2:10
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2661
Mailing Address - Country:US
Mailing Address - Phone:434-200-5200
Mailing Address - Fax:434-200-5213
Practice Address - Street 1:2323 MEMORIAL AVE
Practice Address - Street 2:10
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2661
Practice Address - Country:US
Practice Address - Phone:434-200-5200
Practice Address - Fax:434-200-5213
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0116023296390200000X
VA0101255807207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA207Q00000XOtherFAMILY MEDICINE