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Individual

DR. ABDUR RAFA AYOOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5926
(515) 241-5127
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5926
(515) 241-5127

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
13160
ND
208000000X
Pediatrics Physician
Primary
MD-43417
IA
390200000X
Student in an Organized Health Care Education/Training Program
PT13160
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780962845
IA
Enumeration date
07/22/2011
Last updated
07/21/2016
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