Provider Demographics
NPI:1356474548
Name:ELSAYAH, DANY (MD)
Entity Type:Individual
Prefix:
First Name:DANY
Middle Name:
Last Name:ELSAYAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DANY
Other - Middle Name:NAIM
Other - Last Name:EL SAYAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2699
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:850-416-6933
Mailing Address - Fax:850-416-6934
Practice Address - Street 1:1545 AIRPORT BLVD STE 2000
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8615
Practice Address - Country:US
Practice Address - Phone:850-416-6933
Practice Address - Fax:850-416-6934
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD 2007-0054207RH0003X
FLME110399207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM79038883Medicaid
NM800521089OtherMEDICARE GROUP NUMBER
NM342717403Medicare PIN
NMI74080Medicare UPIN