Basic Information
Provider Information
NPI: 1336286608
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AYARS
FirstName: ANDREW
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 50095
Address2: UNIVERSITY OF WASHINGTON
City: SEATTLE
State: WA
PostalCode: 98145
CountryCode: US
TelephoneNumber: 2065436420
FaxNumber:  
Practice Location
Address1: UNIVERSITY OF WASHINGTON
Address2: 1959 NE PACIFIC ST
City: SEATTLE
State: WA
PostalCode: 981950001
CountryCode: US
TelephoneNumber: 2065984615
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/30/2007
LastUpdateDate: 09/24/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RA0201XMD60091360WAY Allopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology

No ID Information.


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