Organization Active NPI

Ahmed E Ayoub MD PC

  • Physical Medicine & Rehabilitation Physician
  • Rochester Hills, MI
National Provider Identifier
1124328356
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
AHMED E AYOUB MD PC
Practice address
1646 Crestline CT
Rochester Hills, MI 48307-3410
Phone
(248) 635-8171
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ahmed E Ayoub, M.D.
Title
Owner
Phone
(248) 635-8171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1646 Crestline CT
Rochester Hills, MI 48307-3410

Mailing address

PO Box 70656
Rochester Hills, MI 48307-0013

National Provider Directory

National Provider Directory

Locations

2325 Eureka Rd
Wyandotte, MI 48192
Phone (248) 464-3837

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1124328356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70656",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483070013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 CRESTLINE CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073410",
            "telephone_number": "248-635-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED E AYOUB MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-635-8171",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.