Provider Demographics
NPI:1427387422
Name:AYOUB, SUHA ALI (MD)
Entity Type:Individual
Prefix:MRS
First Name:SUHA
Middle Name:ALI
Last Name:AYOUB
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 1:1800 E FLORENCE BLVD,
Mailing Address - Street 2:ATTN AMANDA GUMP/HOSPITALIST
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122
Mailing Address - Country:US
Mailing Address - Phone:520-381-6460
Mailing Address - Fax:520-381-6068
Practice Address - Street 1:1800 E FLORENCE BLVD,
Practice Address - Street 2:ATTN AMANDA GUMP/HOSPITALIST
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122
Practice Address - Country:US
Practice Address - Phone:520-381-6460
Practice Address - Fax:520-381-6068
Is Sole Proprietor?:No
Enumeration Date:2009-12-22
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR71428208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist