Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OH35068255E | OH |
N | 111NI0900X | Internist | OH35068255E | OH |
N | 207V00000X | Obstetrician & Gynecologist | OH35068255E | OH |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | OH35068255E | OH |
NPI | 1194787622 |
---|---|
Provider Name | Dr. Sayed Abd El-Azeem |
First Address | Poland, OH 44514-7500 |
Second Address | Youngstown, OH 44512-6434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 01/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0251794 | (05) | OH |
E57887 | (02) |