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NPI Code Detail

MEDICARE: DR. ZIAD MICHAEL ELGHOUL MD

MEDICARE: DR. ZIAD MICHAEL ELGHOUL MD
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
1207RI0011XInterventional Cardiology Physician29317AZ

General Provider Information

NPI Number : 1497787642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZIAD MICHAEL ELGHOUL MD
Provider Business Mailing Address
First Line : 1960 W FRYE RD
Second Line : BUILDING A, SUITE 5
City : CHANDLER
State : AZ
Zip : 85224-6238
Country : US
Telephone Number : 480-917-5900
Fax Number : 480-917-2255
Provider Business Practice Location Address
First Line : 1960 W FRYE RD
Second Line : BUILDING A, SUITE 5
City : CHANDLER
State : AZ
Zip : 85224-6238
Country : US
Telephone Number : 480-917-5900
Fax Number : 480-917-2255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 12/08/2008

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Directions to “ DR. ZIAD MICHAEL ELGHOUL MD” Practice Location

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