Provider Demographics
NPI:1003930264
Name:SAYAT AND SAYAT MDS INC
Entity type:Organization
Organization Name:SAYAT AND SAYAT MDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:NILA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:SAYAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-432-3373
Mailing Address - Street 1:PO BOX 998
Mailing Address - Street 2:64979 OLD ROUTE 21
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725
Mailing Address - Country:US
Mailing Address - Phone:740-432-3373
Mailing Address - Fax:740-432-3272
Practice Address - Street 1:64979 OLD ROUTE 21
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725
Practice Address - Country:US
Practice Address - Phone:740-432-3373
Practice Address - Fax:740-432-3272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35036360208600000X
OH35036910207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0245005Medicaid
OH0244999Medicaid
OH4378182OtherAETNA
OH4506109OtherAETNA
OH4506109OtherAETNA
OHSA0401371Medicare UPIN
OH0244999Medicaid
OHSA9226781Medicare PIN
OH0245005Medicaid