Provider Demographics
NPI:1366646366
Name:SAYED, ABULHASAN (MD)
Entity Type:Individual
Prefix:
First Name:ABULHASAN
Middle Name:
Last Name:SAYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ABULHASAN
Other - Middle Name:
Other - Last Name:MUJAWAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:33629 8 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1291
Mailing Address - Country:US
Mailing Address - Phone:248-514-8362
Mailing Address - Fax:810-732-0891
Practice Address - Street 1:261 MACK AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2417
Practice Address - Country:US
Practice Address - Phone:313-745-9733
Practice Address - Fax:313-745-1063
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301082370208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301082370OtherPHYSICIAN LICENSE
MI5199119Medicaid
MI5315030149OtherCDS
MIFS0278817OtherDEA
MIP58830001Medicare UPIN
MIH27858083Medicare PIN