Provider Demographics
NPI:1619041332
Name:AYADI, JAUVID BEHRAM (MD)
Entity type:Individual
Prefix:DR
First Name:JAUVID
Middle Name:BEHRAM
Last Name:AYADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6149 CHANCELLOR DR STE 2780
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-5633
Mailing Address - Country:US
Mailing Address - Phone:407-352-2542
Mailing Address - Fax:407-352-2547
Practice Address - Street 1:7512 DR PHILLIPS BLVD # 50-34
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5131
Practice Address - Country:US
Practice Address - Phone:407-543-6306
Practice Address - Fax:844-718-9979
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 73774207R00000X
FLME73774208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254980800Medicaid
FLG64949Medicare UPIN
FL42297YMedicare PIN