Individual
DR. MANHAL M TANNOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 MEDICAL PARK STE 223, WHEELING, WV 26003-6391
(304) 243-7928
(304) 243-2928
Mailing address
30 MEDICAL PARK STE 223, WHEELING, WV 26003-6391
(304) 243-7928
(304) 243-2928
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
29890
WV
207RG0100X
Gastroenterology Physician
35547
IA
207RG0100X
Gastroenterology Physician
MD459392
PA
208M00000X
Hospitalist Physician
35547
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0449231
—
IA
01
—
36497
WELLMARK
IA
Enumeration date
08/23/2006
Last updated
03/05/2026
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