Provider Demographics
NPI:1952063190
Name:ELSAYED, ABDELRAHMAN MAHMOUD FAWZI (MD)
Entity type:Individual
Prefix:
First Name:ABDELRAHMAN
Middle Name:MAHMOUD FAWZI
Last Name:ELSAYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF PEDIATRICS, DIVISION OF INFECTIOUS DISEAS
Mailing Address - Street 2:750 E. ADAMS STREET, 5TH FLOOR
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210
Mailing Address - Country:US
Mailing Address - Phone:567-322-5681
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF PEDIATRICS, DIVISION OF INFECTIOUS DISEAS
Practice Address - Street 2:750 E. ADAMS STREET, 5TH FLOOR
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210
Practice Address - Country:US
Practice Address - Phone:567-322-5681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332649208M00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics