Organization
AYAAZ ISMAIL MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYAAZ ISMAIL MD (OWNER OF PRACTICE)
(520) 722-3777
Entity
Organization
Contact information
Practice address
6130 N LA CHOLLA BLVD, SUITE 210, TUCSON, AZ 85741-3557
(520) 575-5003
(520) 296-6224
Mailing address
PO BOX 43130, TUCSON, AZ 85733-3130
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
29921
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319232
—
AZ
Enumeration date
03/06/2008
Last updated
06/11/2008
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