Provider Demographics
NPI:1790111458
Name:JIHAYEL, AYAD KADHIM (MD)
Entity Type:Individual
Prefix:DR
First Name:AYAD
Middle Name:KADHIM
Last Name:JIHAYEL
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 1:54 GREENWOODS RD
Mailing Address - Street 2:
Mailing Address - City:OLD TAPPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-7053
Mailing Address - Country:US
Mailing Address - Phone:201-446-4584
Mailing Address - Fax:
Practice Address - Street 1:ISTIKLAL HOSPITAL
Practice Address - Street 2:
Practice Address - City:AMMAN
Practice Address - State:MIDDLE EAST
Practice Address - Zip Code:11821
Practice Address - Country:JO
Practice Address - Phone:01196279-525-0880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04346700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist