Healthcare Provider Details

I. General information

NPI: 1295485183
Provider Name (Legal Business Name): ELIAS GEORGE AYOUB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4226
US

IV. Provider business mailing address

101 MANNING DR
CHAPEL HILL NC
27514-4226
US

V. Phone/Fax

Practice location:
  • Phone: 919-843-9355
  • Fax: 919-966-1459
Mailing address:
  • Phone: 919-843-9355
  • Fax: 919-966-1459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2026-01979
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: