Provider Demographics
NPI:1427162288
Name:AYAD, OSAMA G (MD, FACP)
Entity type:Individual
Prefix:DR
First Name:OSAMA
Middle Name:G
Last Name:AYAD
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:370 E 84TH DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6643
Mailing Address - Country:US
Mailing Address - Phone:219-836-1096
Mailing Address - Fax:219-836-1786
Practice Address - Street 1:370 E 84TH DR STE 200
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6643
Practice Address - Country:US
Practice Address - Phone:121-983-6109
Practice Address - Fax:219-836-1786
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01066512A207RH0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology