Azzouz, Mouhannad
Azzouz, Mouhannad is an sole proprietor health care provider with primary practice located at 1188 Pineview Dr Ste 100 , Morgantown WV 26505-2712. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Azzouz, Mouhannad can be contacted via phone (304) 599-7934.Contact Information
Primary practice address
1188 Pineview Dr Ste 100
Morgantown WV 26505-2712
Phone: (304) 599-7934
Fax: (304) 599-7936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 20408 | West Virginia |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 20408 | West Virginia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | WV20408 | West Virginia |
Profile Details
| NPI number | 1760506018 |
|---|---|
| LBN Legal business name | Azzouz, Mouhannad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Sep 8th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760506018 | NPPES |
| West Virginia | MEDICAID | 1807858000 | |
| West Virginia | Other | WV20408 | |
| West Virginia | Other | 7787352 | |
| West Virginia | Other | 001783384 |
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