MEDICARE: DR. ABRAHAM JOSEPH SAYEGH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	18816	AZ

General Provider Information

NPI Number	:	1033140744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABRAHAM JOSEPH SAYEGH M.D.

Provider Business Mailing Address
First Line	:	287 E HUNT HWY
Second Line	:	STE 105
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-5096
Country	:	US
Telephone Number	:	480-677-8282
Fax Number	:	888-316-1686

Provider Business Practice Location Address
First Line	:	287 E HUNT HWY
Second Line	:	STE 105
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-5096
Country	:	US
Telephone Number	:	480-677-8282
Fax Number	:	480-535-0962

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	05/23/2019

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