Basic Information
| Provider Information | |||||||||
| NPI: | 1225091010 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EL SAYED | ||||||||
| FirstName: | OSAMA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3900 STONERIDGE LN | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430172009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6147987905 | ||||||||
| FaxNumber: | 6147987952 | ||||||||
| Practice Location | |||||||||
| Address1: | 473 W 10TH AVE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OK | ||||||||
| PostalCode: | 43210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142938962 | ||||||||
| FaxNumber: | 6142935614 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2006 | ||||||||
| LastUpdateDate: | 07/16/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 35080159 | OH | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.