Provider Demographics
NPI:1063909216
Name:AYAT, SAYED MAHDI (MD)
Entity type:Individual
Prefix:
First Name:SAYED MAHDI
Middle Name:
Last Name:AYAT
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 1:1800 CLOVE RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-1600
Mailing Address - Country:US
Mailing Address - Phone:718-720-1675
Mailing Address - Fax:833-941-2021
Practice Address - Street 1:1800 CLOVE RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-1600
Practice Address - Country:US
Practice Address - Phone:718-720-1675
Practice Address - Fax:833-941-2021
Is Sole Proprietor?:No
Enumeration Date:2018-04-13
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY312811207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program