Provider Demographics
NPI:1205820131
Name:DAOUD, AKRAM M (DO)
Entity Type:Individual
Prefix:DR
First Name:AKRAM
Middle Name:M
Last Name:DAOUD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 E CHICAGO ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-2057
Mailing Address - Country:US
Mailing Address - Phone:517-278-3675
Mailing Address - Fax:
Practice Address - Street 1:356 E CHICAGO ST
Practice Address - Street 2:SUITE A
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-2057
Practice Address - Country:US
Practice Address - Phone:517-278-3675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101011642208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI114528150Medicaid
MI114528150Medicaid