Individual
HOUDA MOURADIAN- AL TAWIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2373 W MAIN ST STE 102, SALEM, WV 26426-7515
(304) 782-2000
(304) 782-3102
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
(800) 541-4009
(681) 342-3625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28519
WV
Other
Enumeration date
05/12/2015
Last updated
09/26/2018
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