Provider Demographics
NPI:1568638765
Name:AYMAN RAYES, M.D., P.C.
Entity Type:Organization
Organization Name:AYMAN RAYES, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-828-8520
Mailing Address - Street 1:44199 DEQUINDRE RD STE 418
Mailing Address - Street 2:
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 STE 418
Practice Address - Street 2:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010402182084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2114575Medicaid
MI0630450OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI2114575Medicaid