Basic Information
Provider Information
NPI: 1447421664
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GELLAD
FirstName: ZIAD
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: DUKE UNIVERSITY MEDICAL CENTER
Address2: BOX 3913
City: DURHAM
State: NC
PostalCode: 277100001
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: DUKE UNIVERSITY MEDICAL CENTER
Address2: BOX 3913
City: DURHAM
State: NC
PostalCode: 277100001
CountryCode: US
TelephoneNumber: 9192860411
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/15/2008
LastUpdateDate: 04/20/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X2006-01065NCY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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