Provider Demographics
NPI:1952005217
Name:MEDHAT AYAD MD INC
Entity Type:Organization
Organization Name:MEDHAT AYAD MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEDHAT
Authorized Official - Middle Name:
Authorized Official - Last Name:AYAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-375-2473
Mailing Address - Street 1:1285 AVENIDA DE APRISA
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-7454
Mailing Address - Country:US
Mailing Address - Phone:808-375-2473
Mailing Address - Fax:
Practice Address - Street 1:1285 AVENIDA DE APRISA
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-7454
Practice Address - Country:US
Practice Address - Phone:808-375-2473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty