=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518532605
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TOOBA AYUB
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2021
-----------------------------------------------------
Last Update Date | 06/28/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | UC, 231 ALBERT SABIN WAY
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 45229
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-558-5691
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | UC, 231 ALBERT SABIN WAY, DIVISION OF ENDOCRINOLOGY AND METABOLISM
-----------------------------------------------------
City | BERWYN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45229
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-783-3401
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 125-078187
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------