Provider Demographics
NPI:1285179614
Name:HATEM ABOU-SAYED MD MBA FACS - A PROFESSIONAL MEDICAL CORPORATION
Entity Type:Organization
Organization Name:HATEM ABOU-SAYED MD MBA FACS - A PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:TIM SAYED MD, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HATEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOU-SAYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-596-2676
Mailing Address - Street 1:4510 EXECUTIVE DR STE 210
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-3023
Mailing Address - Country:US
Mailing Address - Phone:858-247-2933
Mailing Address - Fax:
Practice Address - Street 1:4510 EXECUTIVE DR STE 210
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-3023
Practice Address - Country:US
Practice Address - Phone:858-247-2933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-20
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76673208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty