Organization
AYD VISITING PHYSICIANS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD IBRAHIM MD (MD)
(313) 945-5450
Entity
Organization
Contact information
Practice address
22662 GODDARD RD, TAYLOR, MI 48180-4126
(313) 759-5992
Mailing address
22662 GODDARD RD, TAYLOR, MI 48180-4126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101023663
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881006120
—
MI
Enumeration date
09/29/2017
Last updated
10/01/2017
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