Healthcare Provider Details

I. General information

NPI: 1073640355
Provider Name (Legal Business Name): AYMAN DAOUD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 02/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43050 FORD RD SUITE 160
CANTON MI
48187-3359
US

IV. Provider business mailing address

24887 GODDARD RD
TAYLOR MI
48180-3930
US

V. Phone/Fax

Practice location:
  • Phone: 734-927-4486
  • Fax: 734-927-4487
Mailing address:
  • Phone: 734-946-7200
  • Fax: 734-946-5551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301072583
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: