Ayyoub, Shadi
Ayyoub, Shadi is an individual health care provider with primary practice located at 400 Health Park Blvd Ste 300 , St Augustine FL 32086-5784. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ayyoub, Shadi can be contacted via phone (904) 819-4082.Contact Information
Primary practice address
400 Health Park Blvd Ste 300
St Augustine FL 32086-5784
Phone: (904) 819-4082
Fax: (904) 819-5156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 44249 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37193 | Arizona |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME119332 | Florida |
Profile Details
| NPI number | 1477674232 |
|---|---|
| LBN Legal business name | Ayyoub, Shadi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477674232 | NPPES |
| Arizona | MEDICAID | 277141 |
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