Provider Demographics
NPI:1891791885
Name:AL-SAYED, SAMRAH H (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMRAH
Middle Name:H
Last Name:AL-SAYED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3834
Mailing Address - Country:US
Mailing Address - Phone:419-291-5599
Mailing Address - Fax:419-291-6466
Practice Address - Street 1:2150 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3834
Practice Address - Country:US
Practice Address - Phone:419-291-5599
Practice Address - Fax:419-291-6466
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35071703208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH12-02760OtherUNITED HEALTH CARE
OH7579152OtherAETNA
OH000000064923OtherANTHEM BC/BS
OH4356815Medicaid
OH2118452Medicaid
OHAL7251931Medicare PIN
OH7579152OtherAETNA
OH4356815Medicaid