Healthcare Provider Details

I. General information

NPI: 1659891109
Provider Name (Legal Business Name): MOHAMMAD ZIAULLAH HAYAT KHAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2017
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N CENTER ST
HICKORY NC
28601-5033
US

IV. Provider business mailing address

420 N CENTER ST
HICKORY NC
28601-5033
US

V. Phone/Fax

Practice location:
  • Phone: 828-315-3360
  • Fax: 828-315-5228
Mailing address:
  • Phone: 828-315-3360
  • Fax: 828-315-5228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2020-03211
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34.018329
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number259586
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number34.018329
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4081
License Number StateWV
# 6
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number4081
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: