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Individual

HAFIZ M AYUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7901 DILEY RD, SUITE 120, CANAL WINCHESTER, OH 43110-9612
(614) 829-6138
(614) 829-6167
Mailing address
1153 E MAIN ST, PO BOX 2563, LANCASTER, OH 43130-4056
(740) 687-8990
(740) 687-8230

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35072011
OH
207R00000X
Internal Medicine Physician
Primary
35072011
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2018524
OH
01
5619197341A42
BLUECROSS BLUESHIELD
OH
Enumeration date
01/25/2006
Last updated
09/30/2016
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