Provider Demographics
NPI:1861011009
Name:ELSAYED ALI ALI, SHERIF ELSAYED ABDELFATTAH (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERIF
Middle Name:ELSAYED ABDELFATTAH
Last Name:ELSAYED ALI ALI
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 1:1103 SCHROCK RD STE 201
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1179
Mailing Address - Country:US
Mailing Address - Phone:614-401-4415
Mailing Address - Fax:
Practice Address - Street 1:1103 SCHROCK RD STE 201
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1179
Practice Address - Country:US
Practice Address - Phone:614-401-4415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.144402207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology