Provider Demographics
NPI:1679611339
Name:HUBAYTER, ZIAD RAFIC (MD)
Entity type:Individual
Prefix:DR
First Name:ZIAD
Middle Name:RAFIC
Last Name:HUBAYTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:
Practice Address - Street 1:10751 FALLS RD STE 275
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4541
Practice Address - Country:US
Practice Address - Phone:410-583-2761
Practice Address - Fax:410-583-2767
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD210001401207VE0102X
MDD0064095207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD419506000Medicaid
MD419506000Medicaid