Provider Demographics
NPI:1265494603
Name:SHEHAB, ZIAD M (MD)
Entity Type:Individual
Prefix:MR
First Name:ZIAD
Middle Name:M
Last Name:SHEHAB
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 1:2701 E ELVIRA RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-7214
Mailing Address - Country:US
Mailing Address - Phone:520-626-6507
Mailing Address - Fax:520-626-5652
Practice Address - Street 1:535 N WILMOT RD
Practice Address - Street 2:SUITE #101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711
Practice Address - Country:US
Practice Address - Phone:520-694-9988
Practice Address - Fax:520-694-9917
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ143622080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
37WCGCR24Medicare ID - Type Unspecified
D00297Medicare UPIN