Individual
SHANAWAR ALI WARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1200
(304) 598-4871
Mailing address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1200
(304) 598-4871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36473
WV
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/27/2023
Last updated
04/06/2026
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