Provider Demographics
NPI:1558983692
Name:BEYDOUN, AHMED MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:MICHAEL
Last Name:BEYDOUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:38865 DEQUINDRE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-6812
Mailing Address - Country:US
Mailing Address - Phone:248-720-2626
Mailing Address - Fax:248-720-2620
Practice Address - Street 1:38865 DEQUINDRE RD STE 106
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-6812
Practice Address - Country:US
Practice Address - Phone:248-720-2626
Practice Address - Fax:248-720-2620
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2025-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301510163207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine