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Individual

DR. MOHAMED AYOUBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
(419) 783-2799
Mailing address
1400 E 2ND ST, DEFIANCE, OH 43512-2440

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L9611
TX
207RH0003X
Hematology & Oncology Physician
Primary
35.124319
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8U1466
BLUE SHIELD
TX
Enumeration date
03/20/2006
Last updated
01/18/2022
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