Provider Demographics
NPI:1689865313
Name:SAYED M YOSSEF MD INC
Entity Type:Organization
Organization Name:SAYED M YOSSEF MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAYED
Authorized Official - Middle Name:M
Authorized Official - Last Name:YOSSEF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-707-1115
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35056182Y174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9321041OtherMEDICARE GROUP
OH100007669OtherRAILROAD MEDICARE
OH0929964Medicaid
OH9321041OtherMEDICARE GROUP