Individual
PETER M DZIAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35051892D
OH
208600000X
Surgery Physician
Primary
DR.0051648
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000500815
ANTHEM
—
01
—
00160
PARAMOUNT
OH
05
—
0665696
—
OH
01
—
20-82460
UHC
—
01
—
297443892-005
MMO
—
01
—
4044721
AETNA
—
05
—
5189177
—
MI
01
—
P00389820
RRMC
OH
Enumeration date
05/31/2005
Last updated
09/24/2015
Update your record
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