Basic Information
| Provider Information | |||||||||
| NPI: | 1770601734 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SKAFF | ||||||||
| FirstName: | ZIAD | ||||||||
| MiddleName: | GEORGES | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 751874 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282751874 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8434025200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2085 HENRY TECKLENBURG DR STE 320 | ||||||||
| Address2: | |||||||||
| City: | CHARLESTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294147713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8438815844 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2007 | ||||||||
| LastUpdateDate: | 10/17/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | 32340 | SC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 323402 | 05 | SC | MEDICAID |