Provider Demographics
NPI:1851430862
Name:SAYAR, SEYED HAMID (MD)
Entity Type:Individual
Prefix:
First Name:SEYED HAMID
Middle Name:
Last Name:SAYAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HAMID
Other - Middle Name:
Other - Last Name:SAYAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:STE 130 PROVIDER ENROLLMENT
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1111 RONALD REAGAN PKWY
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7085
Practice Address - Country:US
Practice Address - Phone:317-944-0920
Practice Address - Fax:317-968-1137
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2004-0601207RH0000X
IN01063818A207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200877950Medicaid
INP00472630OtherRRMC UMDA TIN
INP01550973OtherRRMC IUHP TIN
IN264910BOOOMedicare PIN
INP01550973OtherRRMC IUHP TIN