Provider Demographics
NPI:1962823005
Name:MOHAMED AYAD, M.D., P.C.
Entity Type:Organization
Organization Name:MOHAMED AYAD, M.D., P.C.
Other - Org Name:BINGHAM MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:AYAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-496-1430
Mailing Address - Street 1:13320 W WARREN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1417
Mailing Address - Country:US
Mailing Address - Phone:313-581-4450
Mailing Address - Fax:313-581-7560
Practice Address - Street 1:13320 W WARREN AVE STE A
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1417
Practice Address - Country:US
Practice Address - Phone:313-581-4450
Practice Address - Fax:313-581-7560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2021-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301068296207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty