Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 49625 | AZ |
N | 2080A0000X | Adolescent Medicine | 7782 | SD |
NPI | 1063724748 |
---|---|
Provider Name | Dr. Ayesha Younas |
First Address | Chandler, AZ 85224-2879 |
Second Address | Chandler, AZ 85224-2879 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2010 |
Last Update Date | 08/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
947237 | (05) | AZ |