Individual
DR. AYYASAMY P SELVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 N US HIGHWAY 89, VA MEDICAL CENTER, PRESCOTT, AZ 86313-5001
(928) 776-6009
(928) 776-6098
Mailing address
PO BOX 9080, PRESCOTT, AZ 86313-9080
(928) 776-6009
(928) 776-6098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-26825
KS
207R00000X
Internal Medicine Physician
108004
MO
Other
Enumeration date
08/29/2006
Last updated
09/11/2025
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