Most Relevant Information
Provider Data
| NPI Number: | 1003648049 |
| Provider Name: | AYAH ISMAIL |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2024 |
| Last Updated: | 08/19/2024 |
Provider Practice Location
1943 STONEY CV
TROY
MI
480853487
Practice Location Phone/Fax
| Phone: | 2488844785 |
| Fax: |
Provider Mailing Location
1943 STONEY CV
TROY
MI
480853487
Provider Mailing Phone/Fax
| Phone: | 2488844785 |
| Fax: |