Provider Demographics
NPI:1114989118
Name:SAYYID, SAMIULLAH HABIB (MD)
Entity Type:Individual
Prefix:MR
First Name:SAMIULLAH
Middle Name:HABIB
Last Name:SAYYID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1085 PROFESSIONAL DR
Mailing Address - Street 2:SUITE G2
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532
Mailing Address - Country:US
Mailing Address - Phone:810-733-5522
Mailing Address - Fax:810-733-8010
Practice Address - Street 1:1085 PROFESSIONAL DR
Practice Address - Street 2:SUITE G2
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532
Practice Address - Country:US
Practice Address - Phone:810-733-5522
Practice Address - Fax:810-733-8010
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301058555207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3295887Medicaid
MIOM29540Medicare ID - Type Unspecified
MI3295887Medicaid