Individual
DR. HAMID MAHMOOD ZIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC, PEORIA, IL 61637-0001
(309) 624-9011
(309) 624-9152
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-9101
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
279497
NY
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
279497
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
279497
NY
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/11/2010
Last updated
04/14/2017
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