Provider Demographics
NPI:1295721751
Name:BAYAZID, SAEB (MD)
Entity type:Individual
Prefix:DR
First Name:SAEB
Middle Name:
Last Name:BAYAZID
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 1:3333 E CAMELBACK RD STE 180
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2396
Mailing Address - Country:US
Mailing Address - Phone:602-759-6883
Mailing Address - Fax:602-224-3315
Practice Address - Street 1:3320 N 2ND ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-2319
Practice Address - Country:US
Practice Address - Phone:602-200-8288
Practice Address - Fax:602-200-8627
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9501173208600000X
TXR5080208600000X
NMMD2019-0008208600000X
AZ36598208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX396562601Medicaid
NC13969OtherNC BSBS INDIV
SCN01173Medicaid
NCP00369102OtherRAILROAD MEDICARE
NC8913969Medicaid
NM69306753Medicaid