Provider Demographics
NPI:1497843668
Name:AYALP, TAYFUR R (MD)
Entity Type:Individual
Prefix:DR
First Name:TAYFUR
Middle Name:R
Last Name:AYALP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28499 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3702
Mailing Address - Country:US
Mailing Address - Phone:248-553-0505
Mailing Address - Fax:248-553-5083
Practice Address - Street 1:28499 ORCHARD LAKE RD
Practice Address - Street 2:SUITE #2
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3702
Practice Address - Country:US
Practice Address - Phone:248-553-0505
Practice Address - Fax:248-553-5083
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301039099174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist