Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 12775 | MS |
N | 207VE0102X | Reproductive Endocrinologist | 12775 | MS |
NPI | 1518970995 |
---|---|
Provider Name | Dr. Paul Richard Ziaya |
First Address | Cocolalla, ID 83813-9620 |
Second Address | Biloxi, MS 39531-2410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 08/07/2007 |