Provider Demographics
NPI:1225499569
Name:AYOUB, HANAN (MD, MPH, IMD)
Entity Type:Individual
Prefix:DR
First Name:HANAN
Middle Name:
Last Name:AYOUB
Suffix:
Gender:F
Credentials:MD, MPH, IMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 TINDALL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2722
Mailing Address - Country:US
Mailing Address - Phone:732-671-3464
Mailing Address - Fax:732-671-3444
Practice Address - Street 1:14 TINDALL RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2722
Practice Address - Country:US
Practice Address - Phone:732-671-3464
Practice Address - Fax:732-671-3444
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty