Provider Demographics
NPI:1851985816
Name:ZAKOUR, ZIYAD BEN
Entity Type:Individual
Prefix:
First Name:ZIYAD
Middle Name:BEN
Last Name:ZAKOUR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-4150
Mailing Address - Country:US
Mailing Address - Phone:702-325-8024
Mailing Address - Fax:
Practice Address - Street 1:2012 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-4150
Practice Address - Country:US
Practice Address - Phone:702-325-8024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-21
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty