Provider Demographics
NPI:1376567883
Name:AYARS, GARRISON H (MD)
Entity Type:Individual
Prefix:
First Name:GARRISON
Middle Name:H
Last Name:AYARS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 112TH AVE NE
Mailing Address - Street 2:SUITE C210
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3732
Mailing Address - Country:US
Mailing Address - Phone:425-454-2191
Mailing Address - Fax:425-453-1270
Practice Address - Street 1:1200 112TH AVE NE
Practice Address - Street 2:SUITE C210
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3732
Practice Address - Country:US
Practice Address - Phone:425-454-2191
Practice Address - Fax:425-453-1270
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00018946207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1283704Medicaid
WA217000384Medicare ID - Type UnspecifiedMEDICARE NUMBER
WAA04009Medicare UPIN