Provider Demographics
NPI:1518761113
Name:ELSAYYAD, TAKWA MOHAMED
Entity type:Individual
Prefix:
First Name:TAKWA
Middle Name:MOHAMED
Last Name:ELSAYYAD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 RIALTO BLVD
Mailing Address - Street 2:APRTMENT 1826
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735
Mailing Address - Country:US
Mailing Address - Phone:804-334-2721
Mailing Address - Fax:
Practice Address - Street 1:2710 RUDOLPH RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4601
Practice Address - Country:US
Practice Address - Phone:804-334-2721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)