Provider Demographics
NPI:1497734586
Name:AYAN, SERDAR (DC)
Entity Type:Individual
Prefix:DR
First Name:SERDAR
Middle Name:
Last Name:AYAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WILLARD ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03303-3509
Mailing Address - Country:US
Mailing Address - Phone:603-224-0236
Mailing Address - Fax:
Practice Address - Street 1:1 FISHER AVE
Practice Address - Street 2:
Practice Address - City:BOSCAWEN
Practice Address - State:NH
Practice Address - Zip Code:03303-1359
Practice Address - Country:US
Practice Address - Phone:603-753-4455
Practice Address - Fax:603-753-4475
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH596-0400111N00000X
MA2606111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH05Y004530NH02OtherANTHEM B/C B/S
NH30252341Medicaid
NHRE7185Medicare PIN