Provider Demographics
NPI:1932976875
Name:SAYEH, DEKONTI ELMINA (PA-C)
Entity Type:Individual
Prefix:
First Name:DEKONTI
Middle Name:ELMINA
Last Name:SAYEH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 DELLCASTLE RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-1320
Mailing Address - Country:US
Mailing Address - Phone:240-437-6346
Mailing Address - Fax:
Practice Address - Street 1:12321 MIDDLEBROOK RD STE 101
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1512
Practice Address - Country:US
Practice Address - Phone:301-428-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0009193363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant