Ayuthia, Issara

Ayuthia, Issara is an individual health care provider with primary practice located at 3001 Avenue A , Dodge City KS 67801-6508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Ayuthia, Issara can be contacted via phone (620) 225-8437.

Contact Information

Primary practice address
3001 Avenue A Dodge City KS 67801-6508
Phone: (620) 225-8437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 04-17419 Kansas
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 04-17419 Kansas

Profile Details

NPI number 1215905062
LBN Legal business name Ayuthia, Issara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215905062 NPPES
Kansas Other 002902 BCBS

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