Provider Demographics
NPI:1598892408
Name:SAYED, ASIF A (MD)
Entity Type:Individual
Prefix:DR
First Name:ASIF
Middle Name:A
Last Name:SAYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3030 LAKE AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46805-5428
Mailing Address - Country:US
Mailing Address - Phone:260-422-2448
Mailing Address - Fax:260-422-7467
Practice Address - Street 1:3030 LAKE AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805-5428
Practice Address - Country:US
Practice Address - Phone:260-422-2448
Practice Address - Fax:260-422-7467
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01038922208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100082100AMedicaid