Provider Demographics
NPI:1417523259
Name:ABDEL SAYED, JOHN EMAD (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:EMAD
Last Name:ABDEL SAYED
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 1:311 WEST 14TH ST. PARKVIEW ADULT MEDICINE CLINIC
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81003
Mailing Address - Country:US
Mailing Address - Phone:719-595-7585
Mailing Address - Fax:719-595-7589
Practice Address - Street 1:400 W 16TH ST PARKVIEW MEDICAL GROUP HOSPITALISTS
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-2745
Practice Address - Country:US
Practice Address - Phone:719-584-4921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2024-04-18
Deactivation Date:2022-11-28
Deactivation Code:
Reactivation Date:2022-12-02
Provider Licenses
StateLicense IDTaxonomies
COTL.0008946390200000X
CODR.0073135208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program