Provider Demographics
NPI:1982601795
Name:SAYED, MOHAMMED J (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:J
Last Name:SAYED
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 1:2200 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
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34448207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64881105Medicaid
000000327970OtherBCBS
000000327970OtherBCBS
KY64881105Medicaid