Healthcare Provider Details

I. General information

NPI: 1508864844
Provider Name (Legal Business Name): AHMET R SAYAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9149 ESTATE THOMAS STE 104
ST THOMAS VI
00802-3132
US

IV. Provider business mailing address

9149 ESTATE THOMAS STE 104
ST THOMAS VI
00802-3132
US

V. Phone/Fax

Practice location:
  • Phone: 340-714-2845
  • Fax: 340-714-2843
Mailing address:
  • Phone: 340-714-2845
  • Fax: 340-714-2843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMED-PHYS-LIC-114038
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA07723600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: