Provider Demographics
NPI:1881232726
Name:EL SAYED, HANAA (RD)
Entity Type:Individual
Prefix:
First Name:HANAA
Middle Name:
Last Name:EL SAYED
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BEAVER RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-8288
Mailing Address - Country:US
Mailing Address - Phone:615-878-6689
Mailing Address - Fax:
Practice Address - Street 1:1 BEAVER RIDGE CT
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-8288
Practice Address - Country:US
Practice Address - Phone:615-878-6689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1879133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered