Provider Demographics
NPI:1093715724
Name:ABDEL-SAYED, MYRIAM ALFRED (MD)
Entity Type:Individual
Prefix:
First Name:MYRIAM
Middle Name:ALFRED
Last Name:ABDEL-SAYED
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 1:401 YOUNGSVILLE HWY
Mailing Address - Street 2:STE 100
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-5173
Mailing Address - Country:US
Mailing Address - Phone:337-330-0031
Mailing Address - Fax:337-330-0059
Practice Address - Street 1:401 YOUNGSVILLE HWY
Practice Address - Street 2:STE 100
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-5173
Practice Address - Country:US
Practice Address - Phone:337-330-0031
Practice Address - Fax:337-330-0059
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA13424R208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1564915Medicaid
LA1564915Medicaid
G82500Medicare UPIN