Fayad, Ziad Youssef
Fayad, Ziad Youssef is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 200 , Mishawaka IN 46545-1465. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Fayad, Ziad Youssef can be contacted via phone (574) 272-5347.Contact Information
Primary practice address
611 E Douglas Rd Ste 200
Mishawaka IN 46545-1465
Phone: (574) 272-5347
Fax: (574) 272-8617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 01075159A | Indiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01075159A | Indiana |
Profile Details
| NPI number | 1508025867 |
|---|---|
| LBN Legal business name | Fayad, Ziad Youssef |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Apr 29th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508025867 | NPPES |
| Indiana | MEDICAID | 201292160 |
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