Individual
TAYYEB M AYYOUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 425-6845
Mailing address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 588-3600
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
43194
KY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
9890
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13329
—
ND
Enumeration date
07/24/2006
Last updated
07/18/2023
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