Individual
DR. INEKE MARYAM AYUBI-MOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
483 W. SEED FARM RD, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 285-1255
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29638
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5467450
FIRST HEALTH
—
01
—
7329456
AETNA
—
01
—
80192212
RR MEDICARE
—
01
—
8176829002
CIGNA 200
—
01
—
AZ728760
BCBS
—
01
—
AZ9435
HEALTHNET
—
Enumeration date
08/10/2005
Last updated
02/24/2022
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