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Individual

DR. AYAD M GHARGHOURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
58383 29 PALMS HWY, SUITE # 100, YUCCA VALLEY, CA 92284-5805
(760) 228-5864
Mailing address
58383 29 PALMS HWY, SUITE # 100, YUCCA VALLEY, CA 92284-5805
(760) 228-5864

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A50604
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A506042
CA
Enumeration date
09/07/2006
Last updated
05/01/2013
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