Provider Demographics
NPI:1508864844
Name:SAYAN, AHMET R (MD)
Entity Type:Individual
Prefix:
First Name:AHMET
Middle Name:R
Last Name:SAYAN
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 1:9149 ESTATE THOMAS
Mailing Address - Street 2:STE 104
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-3132
Mailing Address - Country:US
Mailing Address - Phone:340-714-2845
Mailing Address - Fax:340-714-2843
Practice Address - Street 1:9149 ESTATE THOMAS STE 104
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-3132
Practice Address - Country:US
Practice Address - Phone:340-714-2845
Practice Address - Fax:340-714-2843
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-PHYS-LIC-114038207RC0000X
NJ25MA07723600207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP3418620OtherOXFORD
NJ7452582OtherAETNA
NJP00138745OtherRAILROAD MEDICARE
NJ2112579OtherUNITED HEALTHCARE
NJ3559706OtherUS HEALTHCARE
NJ588P5OtherEMPIRE BLUE CROSS
NJ0037851Medicaid
NJ2112579OtherUNITED HEALTHCARE
H03906Medicare UPIN