Provider Demographics
NPI:1013998087
Name:ELSAYED, ESSAM F (MD)
Entity type:Individual
Prefix:DR
First Name:ESSAM
Middle Name:F
Last Name:ELSAYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4708 ALLIANCE BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5368
Mailing Address - Country:US
Mailing Address - Phone:469-467-0011
Mailing Address - Fax:469-467-4923
Practice Address - Street 1:5236 W UNIVERSITY DR STE 4200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-8127
Practice Address - Country:US
Practice Address - Phone:214-544-9590
Practice Address - Fax:214-544-9595
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN3020207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAH82467Medicare UPIN
MAEL A35210Medicare ID - Type Unspecified
MA2006812Medicaid