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Physician Compare National (NPI:1205879020)

HEALTHCARE PROVIDER: JAVAID SAYEED M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1205879020
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8123161445
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100208000650
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SAYEED
Individual professional last name
Provider First Name JAVAID
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1965
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 504 W MEMORIAL DR
Group Practice or individual's line 1 address
City DALLAS
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 301324119
Group Practice or individual's zip code (9 digits when available)
Phone Number 7704456000
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 110042
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 WELLSTAR PAULDING HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 110143
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 WELLSTAR COBB HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 110035
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 WELLSTAR KENNESTONE HOSPITAL
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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