Provider Demographics
NPI:1174183586
Name:ILAYAN, SAMER ABRAHEM (MD)
Entity type:Individual
Prefix:DR
First Name:SAMER
Middle Name:ABRAHEM
Last Name:ILAYAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:32255 NORTHWESTERN HWY
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1566
Mailing Address - Country:US
Mailing Address - Phone:248-355-0880
Mailing Address - Fax:248-355-9232
Practice Address - Street 1:32255 NORTHWESTERN HWY
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1566
Practice Address - Country:US
Practice Address - Phone:248-355-0880
Practice Address - Fax:248-355-9232
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2024-08-14
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Provider Licenses
StateLicense IDTaxonomies
MI4351044783207Q00000X
MI4301506943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine