Provider Demographics
NPI:1699713982
Name:AYASH, LOIS J (MD)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:J
Last Name:AYASH
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1560 E. MAPLE RD
Mailing Address - Street 2:SUITE 400-CREDENTIALING
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1189
Mailing Address - Country:US
Mailing Address - Phone:248-581-5976
Mailing Address - Fax:248-581-5640
Practice Address - Street 1:4100 JOHN R ST
Practice Address - Street 2:KARMANOS CANCER INST
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2013
Practice Address - Country:US
Practice Address - Phone:800-527-6266
Practice Address - Fax:313-576-8767
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2015-11-16
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Provider Licenses
StateLicense IDTaxonomies
MA50625207RH0003X
MI4301069385207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P30630386Medicare PIN