Provider Demographics
NPI:1235312711
Name:ZIYAD H. MUGHARBIL M.D., P.A.
Entity Type:Organization
Organization Name:ZIYAD H. MUGHARBIL M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZIYAD
Authorized Official - Middle Name:H
Authorized Official - Last Name:MUGHARBIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-837-7513
Mailing Address - Street 1:4188 US HIGHWAY 64 E
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-6856
Mailing Address - Country:US
Mailing Address - Phone:828-837-7513
Mailing Address - Fax:828-837-2912
Practice Address - Street 1:4188 US HIGHWAY 64 E
Practice Address - Street 2:SUITE 6
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-6856
Practice Address - Country:US
Practice Address - Phone:828-837-7513
Practice Address - Fax:828-837-2912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031640208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP7189Medicare PIN