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Kanwal Ayaz, MD

Student in an Organized Health Care Education/Training Program in Warren, MI. Individual provider (NPI-1).

NPI number1831946151
StatusActive
Last updated in NPPESMay 4, 2024

Details

NPI
1831946151
Entity type
Individual (NPI-1)
Name
Kanwal Ayaz
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
May 3, 2024
Certification date
May 4, 2024
Last updated
May 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

Macomb Academic Clinic Im
11885 E. 12 Mile Rd., Ste 200b
Warren, MI 48093

Phone 586-582-6630 · Fax 586-582-6631

Mailing address

Macomb Academic Clinic Im
11885 E. 12 Mile Rd., Ste 200 B
Warren, MI 48093-1294

Phone 586-582-6630

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