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Basant Osama Mahmoud Elsaye Sanad

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as BASANT SANAD.

Based on the most recent information from CMS, provider Basant Osama Mahmoud Elsaye Sanad is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:21 AM.

Profile Details

Provider ID
1205675923
Provider Type
Individual
Full Name
Sanad, Basant Osama Mahmoud Elsaye
Gender
Female

Sole Proprietor
No
Enumeration Date
5/22/2024
Last Updated
7/11/2024

Contact Information

Practice Location

3601 W 13 Mile Rd, Royal Oak, MI 48073

(248) 551-3000

(248) 551-9425

Mailing Location

3601 W 13 Mile Rd, Beaumont Hospital, Gme Office, Royal Oak, MI 48073

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 4351052752 Michigan
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 5315248578 Michigan

Basant Osama Mahmoud Elsaye Sanad

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

T N Kakish Md Pc

Gyawali, Pawan

Bukovec, Florian

Slete, Kelsey

Ibrahim, Ragheda

Kim, Thomas

Rempakos, Athanasios

Physicians Home Health Pc

Fecko, Alice Marie

Lee, Denise Y