Provider Demographics
NPI:1316975550
Name:EL-SAYED, MOHAMED HOSNY (MD)
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:HOSNY
Last Name:EL-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 1:1700 NW 49TH ST STE 125
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3750
Mailing Address - Country:US
Mailing Address - Phone:954-473-7642
Mailing Address - Fax:954-473-7686
Practice Address - Street 1:3100 CORAL HILLS DR STE 302
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4138
Practice Address - Country:US
Practice Address - Phone:954-724-3470
Practice Address - Fax:954-724-3473
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63705207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374984300Medicaid
FL374984300Medicaid
FLE96928Medicare UPIN