Provider Demographics
NPI:1407684186
Name:AYYAD, MOHAMMED MAJED IBRAHIM (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:MAJED IBRAHIM
Last Name:AYYAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 PASSAIC AVE APT 210
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-1175
Mailing Address - Country:US
Mailing Address - Phone:973-689-4876
Mailing Address - Fax:
Practice Address - Street 1:150 BERGEN ST # UHI-258
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2496
Practice Address - Country:US
Practice Address - Phone:973-972-6055
Practice Address - Fax:973-972-3129
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program