Individual
M. ZIAD DARKHABANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8350
(920) 288-8355
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
(920) 288-8350
(920) 288-8355
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
05167
WI
2084N0400X
Neurology Physician
12132
ND
2084V0102X
Vascular Neurology Physician
Primary
53632
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16861
—
ND
Enumeration date
02/25/2010
Last updated
09/11/2020
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