Provider Demographics
NPI:1487910113
Name:AYMAN DAOUD MD PC
Entity type:Organization
Organization Name:AYMAN DAOUD MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAOUD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-516-7918
Mailing Address - Street 1:43050 FORD RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3359
Mailing Address - Country:US
Mailing Address - Phone:734-516-7918
Mailing Address - Fax:734-844-2336
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:734-516-7918
Practice Address - Fax:734-844-2336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301072583207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty