Provider Demographics
NPI:1538424007
Name:AYAD, MICHEAL T (MD)
Entity type:Individual
Prefix:
First Name:MICHEAL
Middle Name:T
Last Name:AYAD
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 1:4300 ALTON RD STE 2245
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2948
Mailing Address - Country:US
Mailing Address - Phone:305-674-2121
Mailing Address - Fax:
Practice Address - Street 1:4300 ALTON RD STE 2245
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2948
Practice Address - Country:US
Practice Address - Phone:305-674-2906
Practice Address - Fax:305-674-3927
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD148842086S0129X, 2086S0129X
FLME1372722086S0129X
MA2587902086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110099818AMedicaid
MA110099818AMedicaid
MAS400159512Medicare PIN