Provider Demographics
NPI:1982618856
Name:EL-SAYED, MAHMOUD MOHAMAD ALI (MD)
Entity Type:Individual
Prefix:
First Name:MAHMOUD
Middle Name:MOHAMAD ALI
Last Name:EL-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 1:1409 THOMAS MASON PL
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4423
Mailing Address - Country:US
Mailing Address - Phone:314-717-1717
Mailing Address - Fax:
Practice Address - Street 1:1409 THOMAS MASON PL
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-4423
Practice Address - Country:US
Practice Address - Phone:314-717-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.114709207RC0200X, 207RC0200X
PAMD439030207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine