Healthcare Provider Details

I. General information

NPI: 1003930264
Provider Name (Legal Business Name): SAYAT AND SAYAT MDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64979 OLD ROUTE 21
CAMBRIDGE OH
43725
US

IV. Provider business mailing address

PO BOX 998 64979 OLD ROUTE 21
CAMBRIDGE OH
43725
US

V. Phone/Fax

Practice location:
  • Phone: 740-432-3373
  • Fax: 740-432-3272
Mailing address:
  • Phone: 740-432-3373
  • Fax: 740-432-3272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35036910
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35036360
License Number StateOH

VIII. Authorized Official

Name: NILA Z SAYAT
Title or Position: SECRETARY
Credential: MD
Phone: 740-432-3373