Individual
DR. MAMDOUH ELSAYED RAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036104816
IL
2085R0202X
Diagnostic Radiology Physician
ME119459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105853500
—
FL
01
—
G8KFH
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/12/2007
Last updated
04/01/2025
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