Provider Demographics
NPI:1477965887
Name:GHANI, AYAZ (MD)
Entity type:Individual
Prefix:
First Name:AYAZ
Middle Name:
Last Name:GHANI
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 1:5328 NORTHSHORE CV
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-5332
Mailing Address - Country:US
Mailing Address - Phone:501-225-1400
Mailing Address - Fax:
Practice Address - Street 1:5328 NORTHSHORE CV
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72118-5332
Practice Address - Country:US
Practice Address - Phone:501-225-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL44005207ZP0102X
CODR.0066471207ZP0102X
CT68017207ZP0102X
IDM-15837207ZP0102X
KY54911207ZP0102X
LA330307207ZP0102X
MN2684207ZP0102X
DCMD049002207ZP0102X
FLME147820207ZP0102X
GA91143207ZP0102X
MS30047207ZP0102X
NC2022-00351207ZP0102X
NY292118207ZP0102X
ARE-13088207ZP0102X
SC86757207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology