Provider Demographics
NPI:1134257694
Name:AYASHI, MAHA (MD)
Entity type:Individual
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First Name:MAHA
Middle Name:
Last Name:AYASHI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:245 STATE ST SE
Mailing Address - Street 2:STE 1A
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-4328
Mailing Address - Country:US
Mailing Address - Phone:616-685-1808
Mailing Address - Fax:616-685-1850
Practice Address - Street 1:300 LAFAYETTE AVE SE
Practice Address - Street 2:STE 4000
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-4600
Practice Address - Country:US
Practice Address - Phone:616-685-6922
Practice Address - Fax:616-685-5105
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2021-12-23
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Provider Licenses
StateLicense IDTaxonomies
MI4301089283207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine