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Individual

DR. ZIYAD SHAWKAT HAMMOUDEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1790 CORAL WAY, CORAL GABLES, FL 33145-2771
(786) 710-1600
(305) 402-5880
Mailing address
1790 CORAL WAY, CORAL GABLES, FL 33145-2771
(786) 710-1600
(305) 402-5880

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
106907
MN
208200000X
Plastic Surgery Physician
56901
MN
208200000X
Plastic Surgery Physician
Primary
A115318
CA
208200000X
Plastic Surgery Physician
BP10041657
TX
208600000X
Surgery Physician
4301092879
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
IA
05
ENROLLED
MN
Enumeration date
04/14/2009
Last updated
09/16/2021
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