Individual
MISS MANAR SHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
31050
WV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
31050
WV
2278P3800X
Palliative/Hospice Certified Respiratory Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2017
Last updated
10/31/2022
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