Provider Demographics
NPI:1881786986
Name:HAIDAR, ZIAD AMIL (MD)
Entity type:Individual
Prefix:DR
First Name:ZIAD
Middle Name:AMIL
Last Name:HAIDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ZIAD
Other - Middle Name:EMIL
Other - Last Name:ABOU HAIDAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1411 ATLANTIS DR STE A
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-1637
Mailing Address - Country:US
Mailing Address - Phone:281-707-0939
Mailing Address - Fax:
Practice Address - Street 1:1411 ATLANTIS DR STE A
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-1637
Practice Address - Country:US
Practice Address - Phone:281-707-0939
Practice Address - Fax:281-605-6800
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3414207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM62112OtherCDS LICENSE
TXV0173054OtherDPS
BA9938311OtherDEA REGISTRATION