Ayd Visiting Physicians Plc | |
22662 Goddard Rd Taylor MI 48180-4126 | |
(313) 759-5992 | |
Not Available |
Full Name | Ayd Visiting Physicians Plc |
---|---|
Speciality | Internal Medicine |
Location | 22662 Goddard Rd, Taylor, Michigan |
Authorized Official Name and Position | Ahmad Ibrahim (MD) |
Authorized Official Contact | 3139455450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ayd Visiting Physicians Plc 22662 Goddard Rd Taylor MI 48180-4126 Ph: () - | Ayd Visiting Physicians Plc 22662 Goddard Rd Taylor MI 48180-4126 Ph: (313) 759-5992 |
NPI Number | 1992214282 |
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Provider Enumeration Date | 09/29/2017 |
Last Update Date | 10/01/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992214282 | NPI | - | NPPES |
1881006120 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5101023663 (Michigan) | Primary |
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