Provider Demographics
NPI:1073640355
Name:DAOUD, AYMAN (MD)
Entity type:Individual
Prefix:
First Name:AYMAN
Middle Name:
Last Name:DAOUD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:24887 GODDARD RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-3930
Mailing Address - Country:US
Mailing Address - Phone:734-946-7200
Mailing Address - Fax:734-946-5551
Practice Address - Street 1:43050 FORD RD
Practice Address - Street 2:SUITE 160
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3359
Practice Address - Country:US
Practice Address - Phone:734-927-4486
Practice Address - Fax:734-927-4487
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301072583207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIM99110008Medicare PIN