Organization
MUHIB S. TARAKJI M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHIB S. TARAKJI M.D. (PHYSICIAN)
(304) 766-2101
Entity
Organization
Contact information
Practice address
418 GREENWAY AVE, SOUTH CHARLESTON, WV 25309-1426
(304) 766-2101
(304) 766-2225
Mailing address
418 GREENWAY AVE, SOUTH CHARLESTON, WV 25309-1426
(304) 766-2101
(304) 766-2225
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11488
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096577001
—
WV
Enumeration date
03/28/2007
Last updated
08/22/2020
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