Individual
SUMAYYA B AYAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(844) 292-0111
Mailing address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(844) 292-0111
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD26182
ME
Other
Enumeration date
06/28/2016
Last updated
08/22/2022
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