Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 01066512A | IN |
Y | 111NI0900X | Internist | 01066512A | IN |
N | 207RH0000X | Hematologist | 01066512A | IN |
NPI | 1427162288 |
---|---|
Provider Name | Dr. Osama G. Ayad |
First Address | Merrillville, IN 46410-6643 |
Second Address | Merrillville, IN 46410-6643 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 11/01/2021 |