Provider Demographics
NPI:1467549584
Name:AYAD, MICHAEL (MD PHD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:AYAD
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 6TH ST STE 1J
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3671
Mailing Address - Country:US
Mailing Address - Phone:718-780-3070
Mailing Address - Fax:718-246-8611
Practice Address - Street 1:501 6TH ST STE 1J
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3671
Practice Address - Country:US
Practice Address - Phone:718-780-3070
Practice Address - Fax:718-246-8611
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD39999207T00000X
NY262270207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
I32342Medicare UPIN