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Individual

ANDRES R AYOOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 ROSE ST, HX-315A, LEXINGTON, KY 40536-0293
(859) 323-2410
(859) 257-4457
Mailing address
800 ROSE ST, HX-315A, LEXINGTON, KY 40536-0293
(859) 323-2410
(859) 257-4457

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
42892
KY
2085R0202X
Diagnostic Radiology Physician
0101245669
VA
2085R0202X
Diagnostic Radiology Physician
Primary
43524
KY
390200000X
Student in an Organized Health Care Education/Training Program
4301081574
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184742389
VA
05
7100125580
KY
Enumeration date
03/26/2007
Last updated
12/19/2012
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