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NPI Code Detail

MEDICARE: DR. IMAD AYYAR M.D.

MEDICARE:  DR. IMAD  AYYAR  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35.122636OH
2208M00000XHospitalist Physician4301065237MI
3207R00000XInternal Medicine Physician4301065237MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3IA065237OTHERMIBCBSM

General Provider Information

NPI Number : 1073515268
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IMAD AYYAR M.D.
Provider Business Mailing Address
First Line : 24 FRANK LLOYD WRIGHT DR
Second Line : PO BOX 0446, LOBBY J
City : ANN ARBOR
State : MI
Zip : 48105-9484
Country : US
Telephone Number : 734-747-6766
Fax Number : 734-222-3100
Provider Business Practice Location Address
First Line : 5301 E HURON RIVER DR
Second Line :
City : YPSILANTI
State : MI
Zip : 48197-1051
Country : US
Telephone Number : 734-712-8676
Fax Number : 734-712-3855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 09/04/2024

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Directions to “ DR. IMAD AYYAR M.D.” Practice Location

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