Provider Demographics
NPI:1124097118
Name:MUGHARBIL, ZIYAD H (MD)
Entity type:Individual
Prefix:
First Name:ZIYAD
Middle Name:H
Last Name:MUGHARBIL
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 1:35 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-3139
Mailing Address - Country:US
Mailing Address - Phone:067-745-3862
Mailing Address - Fax:706-439-6460
Practice Address - Street 1:11 HOSPITAL WAY STE A
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-3144
Practice Address - Country:US
Practice Address - Phone:706-745-3862
Practice Address - Fax:706-439-6460
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31600208800000X
GA031640208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000360588AMedicaid
NC203974OtherMEDICARE CIGNA
NC8961306Medicaid
GAGRP7189Medicare UPIN
NC8961306Medicaid
NC203974OtherMEDICARE CIGNA