Provider Demographics
NPI:1346326238
Name:SAYAR, SALEM N (MD)
Entity Type:Individual
Prefix:DR
First Name:SALEM
Middle Name:N
Last Name:SAYAR
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 1:25195 KELLY RD STE B
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-5084
Mailing Address - Country:US
Mailing Address - Phone:586-779-2579
Mailing Address - Fax:586-779-2701
Practice Address - Street 1:25195 KELLY RD STE B
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-5084
Practice Address - Country:US
Practice Address - Phone:586-779-2579
Practice Address - Fax:586-779-2701
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA47834207RC0001X
MI4301089543207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5213156Medicaid
GA202I066680Medicare PIN
MI5213156Medicaid
MIH45252Medicare PIN