Healthcare Provider Details

I. General information

NPI: 1548410400
Provider Name (Legal Business Name): ALI M. SAYED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALI M. EL SAYED MD

II. Dates (important events)

Enumeration Date: 09/26/2008
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 KING AVE STE 200
ATHENS GA
30606-6710
US

IV. Provider business mailing address

1835 SAVOY DR STE 300
ATLANTA GA
30341-1071
US

V. Phone/Fax

Practice location:
  • Phone: 706-369-4478
  • Fax: 706-353-6639
Mailing address:
  • Phone: 706-369-4478
  • Fax: 706-353-6639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number26227
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number0101250729
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number080173
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: