Gharib, Suzanne Lee

Gharib, Suzanne Lee is an individual health care provider with primary practice located at 4610 Kanawha Ave Sw Suite 301, South Charleston WV 25309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Gharib, Suzanne Lee can be contacted via phone (304) 720-8701.

Contact Information

Primary practice address
4610 Kanawha Ave Sw Suite 301 South Charleston WV 25309
Fax: (304) 720-8702
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 23211 West Virginia

Profile Details

NPI number 1386851988
LBN Legal business name Gharib, Suzanne Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jan 8th, 2019 - about 6 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386851988 NPPES
West Virginia MEDICAID 3910000444

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