Provider Demographics
NPI:1447510128
Name:AYUB, SHEHZAD HASSAN (DO)
Entity type:Individual
Prefix:
First Name:SHEHZAD
Middle Name:HASSAN
Last Name:AYUB
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1300 N 12TH ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2848
Mailing Address - Country:US
Mailing Address - Phone:602-521-3600
Mailing Address - Fax:602-521-3601
Practice Address - Street 1:1300 N 12TH ST
Practice Address - Street 2:SUITE 320
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2848
Practice Address - Country:US
Practice Address - Phone:602-521-3600
Practice Address - Fax:602-521-3601
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-29
Last Update Date:2017-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ0064952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry