Provider Demographics
NPI:1013984772
Name:SAYEGH, PAUL A (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:A
Last Name:SAYEGH
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:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5888
Mailing Address - Fax:757-446-5918
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 710
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-5888
Practice Address - Fax:757-446-5918
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010406362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA-006OtherTRICARE/CHAMPUS
VA022818OtherVALUE OPTIONS
VAPAROtherMULTIPLAN
VA010160049Medicaid
NC01418OtherBC/BS
VA80416OtherSENTARA/OPTIMA
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherCORVEL/CORCARE
VAPAROtherFIRST HEATLH COMMERCIAL
VAPAROtherCIGNA BEHAVIORAL HEALTH
NC5901418Medicaid
VA205356OtherMHN
VAPAROtherAETNA
VAPAROtherVIRGINIA HEALTH NETWORK
VA006718OtherMAGELLAN HEALTH SERVICES
VA179749OtherANTHEM
VAPAROtherUSA MANAGED CARE
VA4103295OtherUHC/MAMSI
NC01418OtherBC/BS
VA010160049Medicaid
VAP00332342Medicare PIN