Provider Demographics
NPI:1700068897
Name:AYUB, NAVID ANJUM (MD)
Entity Type:Individual
Prefix:
First Name:NAVID
Middle Name:ANJUM
Last Name:AYUB
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 1:3227 E BELL RD STE 170
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-8710
Mailing Address - Country:US
Mailing Address - Phone:602-652-3500
Mailing Address - Fax:602-652-3582
Practice Address - Street 1:3227 E BELL RD STE 170
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-8710
Practice Address - Country:US
Practice Address - Phone:602-652-3500
Practice Address - Fax:602-652-3582
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2468082084P0800X
AZ379282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry