Individual
AWISTA AYUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 BROADWAY, OAKLAND, CA 94611-5730
(510) 752-7297
Mailing address
540 PACIFIC AVE APT A, ALAMEDA, CA 94501-2188
(916) 280-5833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.074937
IL
207R00000X
Internal Medicine Physician
A176230
CA
Other
Enumeration date
06/24/2019
Last updated
09/22/2022
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