Ayaz, Kathleen M

Ayaz, Kathleen M is an individual health care provider with primary practice located at 8100 W 78Th St Ste 100 , Edina MN 55439-2529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ayaz, Kathleen M can be contacted via phone (952) 914-8100.

Contact Information

Primary practice address
8100 W 78Th St Ste 100 Edina MN 55439-2529
Fax: (952) 914-8101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28484 Minnesota

Profile Details

NPI number 1871554048
LBN Legal business name Ayaz, Kathleen M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Nov 29th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871554048 NPPES
Minnesota MEDICAID 929385000

Popular Providers