Provider Demographics
NPI:1053302612
Name:RAYES, AYMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:AYMAN
Middle Name:
Last Name:RAYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NA
Other - Middle Name:
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NA
Mailing Address - Street 1:44199 DEQUINDRE RD
Mailing Address - Street 2:STE 418
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-1128
Mailing Address - Country:US
Mailing Address - Phone:248-828-8520
Mailing Address - Fax:248-879-6727
Practice Address - Street 1:44199 DEQUINDRE RD
Practice Address - Street 2:STE 418
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-1128
Practice Address - Country:US
Practice Address - Phone:248-828-8520
Practice Address - Fax:248-879-6727
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010402182084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2114575Medicaid
A74869Medicare UPIN
06304505131Medicare ID - Type Unspecified