DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AYMEN YOUSUF BUKANNAN, MD

Active

DR. AYMEN YOUSUF BUKANNAN, MD is a Gastroenterology healthcare provider located in THOMASVILLE, Georgia. NPI 1700179983 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · THOMASVILLE, GA

Registration Details

NPI Number
1700179983
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2011 (15.244861481758 yrs)
Last Updated
Nov 17, 2025
Licenses
077096 (GA)
4301098214 (MI)
036177436 (IL)

Practice Information

Address
112 MIMOSA DR
THOMASVILLE, GA, 317926605
Browse GA providers · Browse ZIP 31792
Phone
2292270045
Primary Specialty
Gastroenterology
207RG0100X
Additional Specialty
Internal Medicine
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in THOMASVILLE, GA

Name Credential NPI
LOUIS G LEE M.D. 1053316521
DR. SCOTT D FARQUHAR M.D. 1568544674
MAHESH CHERYALA 1275083263
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.