Healthcare Provider Details

I. General information

NPI: 1316937030
Provider Name (Legal Business Name): AZRA S AYUBI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 08/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SAN JOSE ST
SALINAS CA
93901
US

IV. Provider business mailing address

250 SAN JOSE ST
SALINAS CA
93901-3901
US

V. Phone/Fax

Practice location:
  • Phone: 831-758-8229
  • Fax: 831-758-0547
Mailing address:
  • Phone: 831-758-8229
  • Fax: 831-758-0547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC149534
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: