Individual
MARK ANTHONY CHOUEIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 MACCORKLE AVE SE, STE 408, CHARLESTON, WV 25304-1223
(304) 388-5280
(304) 388-5291
Mailing address
3100 MACCORKLE SEAVE 408, CHARLESTON, WV 25304-1230
(304) 388-5120
(304) 388-5125
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21843
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003516
—
WV
01
—
P00273599
RAILROAD MEDICARE
—
Enumeration date
09/20/2005
Last updated
12/17/2015
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