Provider Demographics
NPI:1346066156
Name:AAYU AESTHETICS
Entity type:Organization
Organization Name:AAYU AESTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIVEK
Authorized Official - Middle Name:V
Authorized Official - Last Name:TIRMAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:862-251-1430
Mailing Address - Street 1:5850 CORAL RIDGE DR STE 103C
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3395
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5850 CORAL RIDGE DR STE 103C
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3395
Practice Address - Country:US
Practice Address - Phone:862-251-1430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center