Ayaz, Kathleen M
Ayaz, Kathleen M is an individual health care provider with primary practice located at 8100 W 78Th St Ste 100 , Edina MN 55439-2529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ayaz, Kathleen M can be contacted via phone (952) 914-8100.Contact Information
Primary practice address
8100 W 78Th St Ste 100
Edina MN 55439-2529
Phone: (952) 914-8100
Fax: (952) 914-8101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28484 | Minnesota |
Profile Details
| NPI number | 1871554048 |
|---|---|
| LBN Legal business name | Ayaz, Kathleen M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Nov 29th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871554048 | NPPES |
| Minnesota | MEDICAID | 929385000 |
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