Individual
AYAN DE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8901 CLEMENT AVE, PARKVILLE, MD 21234-2603
(410) 661-4670
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0088416
MD
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD485817
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2017
Last updated
12/10/2024
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