Issara Ayuthia, MD - Pathology in Dodge City, KS

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Issara Ayuthia, MD is a Pathology - Clinical Pathology/laboratory Medicine physician based in Dodge City, Kansas. Issara Ayuthia is licensed to practice in Kansas (license number 04-17419) and his current practice location is 3001 Avenue A, Dodge City, Kansas. He can be reached at his office (for appointments etc.) via phone at (620) 225-8437.

NPI number for Issara Ayuthia is 1215905062 and his current mailing address is Po Box 1331, Dodge City, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215905062.

Contact Information

Issara Ayuthia, MD
3001 Avenue A,
Dodge City, KS 67801-6508
(620) 225-8437
Not Available

Map and Direction




Physician's Profile

Full NameIssara Ayuthia
GenderMale
SpecialityPathology - Clinical Pathology/laboratory Medicine
Location3001 Avenue A, Dodge City, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215905062
  • Provider Enumeration Date: 03/09/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Issara Ayuthia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215905062NPI-NPPES
002902OtherKSBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 04-17419 (Kansas)Primary
207ZP0105XPathology - Clinical Pathology/laboratory Medicine 04-17419 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Issara Ayuthia is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Issara Ayuthia, MD
Po Box 1331,
Dodge City, KS 67801-1331

Ph: (316) 685-6236		Issara Ayuthia, MD
3001 Avenue A,
Dodge City, KS 67801-6508

Ph: (620) 225-8437

Reviews and Comments


Pathology Doctors in Dodge City, KS


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