National Provider Identifier

Muddusir Mohammad Ayaz, M.D.

Muddusir Mohammad Ayaz, M.D. is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Rochester, NY and a listed phone number of (585) 267-4040.

NPI 1790164564Rochester, NYGastroenterology Physician

Profile Overview

NPI
1790164564
Provider Type
Individual
Primary Specialty
Gastroenterology Physician
Enumeration Date
May 26, 2015
Last Updated
October 20, 2023

Practice Location

  • 20 Hagen Dr Ste 330
  • Rochester, NY 14625-2664

Phone: (585) 267-4040

Mailing Address

  • 260 Leigh Farm
  • 320
  • Durham, NC 27707

Specialties

  • Gastroenterology Physician (207RG0100X)
  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1790164564
Entity Type
Individual
Last Name
Ayaz
First Name
Muddusir
Middle Name
Mohammad
Name Prefix
Dr.
Credential
M.D.
Provider Other Last Name
Ayaz
Provider Other First Name
Muddasir
Provider Other Middle Name
Mohammad
Provider Other Last Name Type Code
5
Mailing Street Address
260 Leigh Farm
Mailing Address Line 2
320
Mailing City
Durham
Mailing State
NC
Mailing ZIP Code
27707
Mailing Country
US
Mailing Phone
(562) 325-3697
Practice Street Address
20 Hagen Dr Ste 330
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-2664
Practice Country
US
Practice Phone
(585) 267-4040
Practice Fax
(585) 267-4044
Enumeration Date
May 26, 2015
Last Updated
October 20, 2023
Sex
Male
Sole Proprietor
No
Certification Date
October 20, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Gastroenterology Physician (207RG0100X), Internal Medicine Physician (207R00000X)