Provider Demographics
NPI:1063598977
Name:EL SAYED, HOSAM FAROUK (MD)
Entity type:Individual
Prefix:
First Name:HOSAM
Middle Name:FAROUK
Last Name:EL SAYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HOSAM
Other - Middle Name:F
Other - Last Name:EL SAYED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:397 LITTLE NECK RD STE 120
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-5774
Mailing Address - Country:US
Mailing Address - Phone:757-395-1600
Mailing Address - Fax:
Practice Address - Street 1:397 LITTLE NECK RD STE 120
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-5774
Practice Address - Country:US
Practice Address - Phone:757-395-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350845722086S0129X
VA01012667582086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP01527284OtherRAILROAD MEDICARE
OH2901659Medicaid
OH2901659Medicaid
TX206539304Medicaid
OHH453000Medicare PIN
TXP01039329OtherRR MEDICARE
TX8L18581Medicare PIN
TX206539302Medicaid
OH2901659Medicaid
TX206539303Medicaid
TX206539301Medicaid