Individual
DR. LAYTH MAOLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FAAP
Contact information
Practice address
3160 LEWIS AVE, IDA, MI 48140-9703
(888) 432-3621
(866) 390-9167
Mailing address
3160 LEWIS AVE, IDA, MI 48140-9703
(888) 432-3621
(866) 390-9167
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35078595
OH
207R00000X
Internal Medicine Physician
Primary
4301068044
MI
208000000X
Pediatrics Physician
35078595
OH
208000000X
Pediatrics Physician
4301068044
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104592616
—
MI
05
—
2230713
—
OH
Enumeration date
05/23/2005
Last updated
11/03/2023
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