MEDICARE: HAFIZ M AYUB M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35072011	OH
2	207P00000X	Emergency Medicine Physician	35072011	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5619197341A42	OTHER	OH	BLUECROSS BLUESHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801866470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAFIZ M AYUB M.D.

Provider Business Mailing Address
First Line	:	1153 E MAIN ST
Second Line	:	PO BOX 2563
City	:	LANCASTER
State	:	OH
Zip	:	43130-4056
Country	:	US
Telephone Number	:	740-687-8990
Fax Number	:	740-687-8230

Provider Business Practice Location Address
First Line	:	7901 DILEY RD
Second Line	:	SUITE 120
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-9612
Country	:	US
Telephone Number	:	614-829-6138
Fax Number	:	614-829-6167

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	09/30/2016

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Directions to “ HAFIZ M AYUB M.D.” Practice Location

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