Provider Demographics
NPI:1952538621
Name:SAYEED, ABRAR RAZA (MD)
Entity Type:Individual
Prefix:
First Name:ABRAR
Middle Name:RAZA
Last Name:SAYEED
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 1:1855 S MAIN ST
Mailing Address - Street 2:STE. A
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-4852
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1855 S MAIN ST
Practice Address - Street 2:STE. A
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-4852
Practice Address - Country:US
Practice Address - Phone:574-533-7476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-19
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01076717A207R00000X, 207RC0000X, 207RC0000X
MI4301094281207R00000X
OH57.023791207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201182540Medicaid
IN184520052Medicare PIN