Healthcare Provider Details
I. General information
NPI: 1518532605
Provider Name (Legal Business Name): TOOBA AYUB
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/21/2021
Last Update Date: 06/28/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
UC, 231 ALBERT SABIN WAY
CINCINNATI IL
45229
US
IV. Provider business mailing address
UC, 231 ALBERT SABIN WAY, DIVISION OF ENDOCRINOLOGY AND METABOLISM
BERWYN OH
45229
US
V. Phone/Fax
- Phone: 513-558-5691
- Fax:
- Phone: 708-783-3401
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 125-078187 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: