MEDICARE: HATEM AHMED ABOU-SAYED MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	ME 88445	FL

General Provider Information

NPI Number	:	1386627024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HATEM AHMED ABOU-SAYED MD

Provider Business Mailing Address
First Line	:	4510 EXECUTIVE DR
Second Line	:	STE 105
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-3022
Country	:	US
Telephone Number	:	561-596-2676
Fax Number	:

Provider Business Practice Location Address
First Line	:	7231 SW 63RD AVE
Second Line	:	STE 200
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4810
Country	:	US
Telephone Number	:	305-661-1996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	03/07/2023

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