Provider Demographics
NPI:1689831216
Name:AYE, THUYA (MD)
Entity Type:Individual
Prefix:DR
First Name:THUYA
Middle Name:
Last Name:AYE
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 1:1025 S GOVERNORS AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-6901
Mailing Address - Country:US
Mailing Address - Phone:302-734-9150
Mailing Address - Fax:302-734-3931
Practice Address - Street 1:1025 S GOVERNORS AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-6901
Practice Address - Country:US
Practice Address - Phone:302-734-9150
Practice Address - Fax:302-734-3931
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10009463207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine