Provider Demographics
NPI:1487657219
Name:YOSSEF, SAYED M (MD)
Entity Type:Individual
Prefix:DR
First Name:SAYED
Middle Name:M
Last Name:YOSSEF
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 1:3304 STONES THROW AVE
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-4204
Mailing Address - Country:US
Mailing Address - Phone:330-707-1115
Mailing Address - Fax:330-707-1119
Practice Address - Street 1:3304 STONES THROW AVE
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-4204
Practice Address - Country:US
Practice Address - Phone:330-707-1115
Practice Address - Fax:330-707-1119
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2007-12-28
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-23
Provider Licenses
StateLicense IDTaxonomies
OH35056182Y207RG0100X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH100007669OtherRAILROAD MEDICARE
OH0929964Medicaid
OHE13018Medicare UPIN
OH0929964Medicaid