| |
43050 Ford Rd Suite 160 Canton MI 48187-3359 | |
(734) 516-7918 | |
(734) 844-2336 |
Full Name | |
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Speciality | Internal Medicine |
Location | 43050 Ford Rd, Canton, Michigan |
Authorized Official Name and Position | Ayman A Daoud (PHYSICIAN) |
Authorized Official Contact | 7345167918 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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43050 Ford Rd Suite 160 Canton MI 48187-3359 Ph: (734) 516-7918 | 43050 Ford Rd Suite 160 Canton MI 48187-3359 Ph: (734) 516-7918 |
NPI Number | 1487910113 |
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Provider Enumeration Date | 04/06/2012 |
Last Update Date | 04/06/2012 |
Medicare PECOS PAC ID | 7113170804 |
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Medicare Enrollment ID | O20130108000124 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487910113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 4301072583 (Michigan) | Primary |
Provider Name | Ayman Daoud |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073640355 PECOS PAC ID: 0143219097 Enrollment ID: I20040507000137 |
Provider Name | Zaineb Albachachy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578124632 PECOS PAC ID: 0840529087 Enrollment ID: I20190912002334 |
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