Individual provider · NPI-1

Husam Ayash, M.D.

Internal Medicine · Decatur, IL

NPI number1487863049
StatusActive
Last updated in NPPESJan 13, 2017

Details

NPI
1487863049
Entity type
Individual (NPI-1)
Name
Husam Ayash
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 21, 2007
Last updated
Jan 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine44786KYYes
207RN0300X Internal Medicine, Nephrology44786KY

Practice location

2300 N Edward St
Decatur, IL 62526-4163

Phone 217-876-8121

Mailing address

1570 Whistler Ct
Naperville, IL 60564-9344

Phone 630-854-2180

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