Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ayyasamy P Selvam, MD

Individual provider Internal Medicine Physician · NPI 1104935832

Dr. Ayyasamy P Selvam, MD is an Internal Medicine Physician in Prescott, Arizona. Licensed in Kansas and Missouri. Registered with an NPI since 2006.

Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 N US Highway 89 VA Medical Ctr
Prescott, AZ 86313-5001
Phone: (928) 776-6009
Fax: (928) 776-6098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 04-26825 (KS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 108004 (MO)

Record details

NPI number1104935832
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESSeptember 11, 2025

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