Provider Demographics
NPI:1346315256
Name:AYERS, EUGENIA M (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENIA
Middle Name:M
Last Name:AYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 CORCORAN ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2406
Mailing Address - Country:US
Mailing Address - Phone:202-483-6678
Mailing Address - Fax:202-483-6678
Practice Address - Street 1:1732 CORCORAN ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2406
Practice Address - Country:US
Practice Address - Phone:202-483-6678
Practice Address - Fax:202-483-6678
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046601207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG24665Medicare UPIN