# DR. INEKE MARYAM AYUBI-MOAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912908039
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 29638 | AZ | Yes |

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 02/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5467450 | FIRST HEALTH | — |
| 01 | — | 7329456 | AETNA | — |
| 01 | — | 80192212 | RR MEDICARE | — |
| 01 | — | 8176829002 | CIGNA 200 | — |
| 01 | — | AZ728760 | BCBS | — |
| 01 | — | AZ9435 | HEALTHNET | — |