Provider Demographics
NPI:1225119407
Name:SAIYED, ASHFAQ (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHFAQ
Middle Name:
Last Name:SAIYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 S CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:OCILLA
Mailing Address - State:GA
Mailing Address - Zip Code:31774-1804
Mailing Address - Country:US
Mailing Address - Phone:229-468-5015
Mailing Address - Fax:229-468-5018
Practice Address - Street 1:202 S CHERRY ST
Practice Address - Street 2:
Practice Address - City:OCILLA
Practice Address - State:GA
Practice Address - Zip Code:31774-1804
Practice Address - Country:US
Practice Address - Phone:229-468-5015
Practice Address - Fax:229-468-5018
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044833207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000803954GMedicaid
GA000803954JMedicaid
GA000803954AMedicaid
GA000803954LMedicaid
GA000803954KMedicaid
GA000803954MMedicaid
GA000803954AMedicaid
GA202G700580Medicare PIN
GA000803954JMedicaid
GA000803954GMedicaid