Individual
MURSHID KHADER ABDEL-LATIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 MON HEALTH MEDICAL PARK DR STE 2100, MORGANTOWN, WV 26505
(304) 599-6811
(304) 599-7159
Mailing address
2000 MON HEALTH MEDICAL PARK DR STE 2100, MORGANTOWN, WV 26505-1134
(304) 599-6811
(304) 599-7159
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17237
WV
207V00000X
Obstetrics & Gynecology Physician
Primary
17237
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4101771
—
WV
01
—
WV26380281
MEDICARE PTAN
WV
Enumeration date
10/12/2007
Last updated
09/18/2018
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