Provider Demographics
NPI:1164986816
Name:MANSUR, ZIYAD AHMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ZIYAD
Middle Name:AHMAD
Last Name:MANSUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 CASTLEWIND DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-8627
Mailing Address - Country:US
Mailing Address - Phone:713-724-6863
Mailing Address - Fax:
Practice Address - Street 1:3203 CASTLEWIND DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-8627
Practice Address - Country:US
Practice Address - Phone:713-724-6863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149579207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology