# AYD VISITING PHYSICIANS PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992214282
- **Authorized official:** AHMAD IBRAHIM MD (MD)
- **Authorized official phone:** (313) 945-5450

## Contact information

- **Practice address:** 22662 GODDARD RD, TAYLOR, MI 48180-4126
- **Practice address phone:** (313) 759-5992
- **Mailing address:** 22662 GODDARD RD, TAYLOR, MI 48180-4126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 5101023663 | MI | Yes |

## Other

- **Enumeration date:** 09/29/2017
- **Last updated:** 10/01/2017