Raheela Ayub, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036-119641 Issued in IL

Practice address

205 Wabasha St S
Mail Stop: 31300a
Saint Paul, MN 55107-1805

Phone

(651) 293-8269

Fax

(651) 293-8195

NPI assigned

Nov 9, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Raheela Mahmud Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216512000000",
    "number": "1750561478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WABASHA ST S",
            "address_2": "MAIL STOP: 31300A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071805",
            "telephone_number": "651-293-8269",
            "fax_number": "651-293-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WABASHA ST S",
            "address_2": "MAIL STOP: 31300A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071805",
            "telephone_number": "651-293-8269",
            "fax_number": "651-293-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYUB",
        "first_name": "RAHEELA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036-119641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAHEELA",
            "last_name": "MAHMUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Corinne Ayers Assad, PA-C
• Brittany Ayers, PA-C
• Richard Aylward
• Andrea Denise Ayres, D.C.
• Thomas Owen Ayres, D.C.
• Baubak Larson Azar, M.D.
• Agnes Njema Azeh, PHARMD
• Keri L Azuar, MD
• Linda Azure
• Khalid Azzam, M.D.

• General Practice Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.