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General NPI Number Information
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NPI Number | 1992884639
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Entity Type | Organization
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Legal Business Name | MAGED AYAD MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 2307 W VICTORY BLVD
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City | BURBANK
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State | CA
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Zip | 91506-1226
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Country | US
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Telephone | 818-953-9400
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Fax | 818-953-9420
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Provider Business Mailing Address
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Address Line | 2307 W VICTORY BLVD
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City | BURBANK
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State | CA
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Zip | 91506-1226
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Country | US
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Telephone | 818-953-9400
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MAGED AYAD
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Credential | MD
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Telephone | 818-953-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A56313
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License Number State | CA
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