Provider Demographics
NPI:1255514840
Name:MOHAMMED J SAYED MD PLLC
Entity type:Organization
Organization Name:MOHAMMED J SAYED MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-686-0055
Mailing Address - Street 1:2200 E PARRISH AVE
Mailing Address - Street 2:STE 203 BLDG C
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1449
Mailing Address - Country:US
Mailing Address - Phone:270-686-0055
Mailing Address - Fax:270-686-0056
Practice Address - Street 1:2200 E PARRISH AVE
Practice Address - Street 2:STE 203 BLDG C
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1449
Practice Address - Country:US
Practice Address - Phone:270-686-0055
Practice Address - Fax:270-686-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY363LF0000X
KY34448207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000327970OtherBCBS
KY65941262Medicaid
3397778OtherMEDICARE #
KY9156Medicare PIN
KY65941262Medicaid