Provider Demographics
NPI:1427169291
Name:LATIF ZIYAR, M.D. INC
Entity type:Organization
Organization Name:LATIF ZIYAR, M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LATIF
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIYAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-449-1209
Mailing Address - Street 1:7335 N 1ST ST STE 109
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2968
Mailing Address - Country:US
Mailing Address - Phone:559-449-1209
Mailing Address - Fax:559-449-1299
Practice Address - Street 1:7335 N 1ST ST STE 109
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2968
Practice Address - Country:US
Practice Address - Phone:559-449-1209
Practice Address - Fax:559-449-1299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A553202Medicare PIN