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Individual

SAMI SID AHMED ELSAYED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1932 NILES CORTLAND RD NE STE X, WARREN, OH 44484-1055
(330) 306-5371
(330) 306-5311
Mailing address
1932 NILES CORTLAND RD NE STE X, WARREN, OH 44484-1055
(330) 306-5371
(330) 306-5311

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.094266
OH
2085R0204X
Vascular & Interventional Radiology Physician
35.094266
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
303107
OHIO MEDICAID UNISON
OH
01
3055778
OHIO MEDICAID MOLINA
OH
05
3055778
OH
01
310917085236
OHIO MEDICAID CARESOURCE
OH
05
3810017700
WV
01
P00828566
RAILROAD MEDICARE
OH
Enumeration date
11/02/2007
Last updated
10/14/2022
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