Ayd Visiting Physicians PLC
Organization Active NPI Internal Medicine Physician · Taylor, MI
NPI 1992214282 · NPPES record last updated Oct 1, 2017
Key facts
- NPI
- 1992214282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 5101023663 (MI)
- Legal business name
- AYD VISITING PHYSICIANS PLC
- Practice address
- 22662 Goddard Rd
Taylor, MI 48180-4126 - Phone
- (313) 759-5992
- NPI assigned
- Sep 29, 2017
- Organization subpart
- No
Authorized official
- Name
- Ahmad Ibrahim, MD
- Title
- MD
- Phone
- (313) 945-5450
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 5101023663 | MI | Yes |
Addresses
Primary practice location
22662 Goddard Rd
Taylor, MI 48180-4126
Mailing address
22662 Goddard Rd
Taylor, MI 48180-4126
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881006120 | Medicaid | MI |
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All providers in Taylor, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.