MEDICARE: ZIYAD H. MUGHARBIL M.D., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	031640	GA

General Provider Information

NPI Number	:	1235312711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZIYAD H. MUGHARBIL M.D., P.A.

Provider Business Mailing Address
First Line	:	4188 US HIGHWAY 64 E
Second Line	:	SUITE 6
City	:	MURPHY
State	:	NC
Zip	:	28906-6856
Country	:	US
Telephone Number	:	828-837-7513
Fax Number	:	828-837-2912

Provider Business Practice Location Address
First Line	:	4188 US HIGHWAY 64 E
Second Line	:	SUITE 6
City	:	MURPHY
State	:	NC
Zip	:	28906-6856
Country	:	US
Telephone Number	:	828-837-7513
Fax Number	:	828-837-2912

Authorized Official
Title or Position	:	OWNER
Name	:	ZIYAD H MUGHARBIL
Credential	:	M.D.
Telephone Number	:	828-837-7513

Provider Enumeration Date	:	12/07/2007
Last Update Date	:	12/07/2007

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