Provider Demographics
NPI:1063414696
Name:SAYED, LUAY (MD)
Entity type:Individual
Prefix:
First Name:LUAY
Middle Name:
Last Name:SAYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49050 SCHOENHERR RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-3848
Mailing Address - Country:US
Mailing Address - Phone:586-566-7870
Mailing Address - Fax:586-566-7850
Practice Address - Street 1:49050 SCHOENHERR RD STE 100
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-3848
Practice Address - Country:US
Practice Address - Phone:586-566-7870
Practice Address - Fax:586-566-7850
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301070701207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI436690010Medicaid
MI0501611OtherBLUE CROSS BLUE SHIELD
MI060-501-2191OtherBLUECROSSBLUESHIELD
MIBS3538595OtherDEA
F56081Medicare UPIN
MI436690010Medicaid