Healthcare Provider Details

I. General information

NPI: 1255514840
Provider Name (Legal Business Name): MOHAMMED J SAYED MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 09/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 E PARRISH AVE STE 203 BLDG C
OWENSBORO KY
42303-1449
US

IV. Provider business mailing address

2200 E PARRISH AVE STE 203 BLDG C
OWENSBORO KY
42303-1449
US

V. Phone/Fax

Practice location:
  • Phone: 270-686-0055
  • Fax: 270-686-0056
Mailing address:
  • Phone: 270-686-0055
  • Fax: 270-686-0056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34448
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateKY

VIII. Authorized Official

Name: MOHAMMED J SAYED
Title or Position: OWNER
Credential: MD
Phone: 270-686-0055