Individual
DR. WADIH KABBARA
Active
Individual
DR. WADIH KABBARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22398
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000056944C
HUMANA
WV
01
—
001882166
MOUNTAIN STATE BLUE CROSS
WV
01
—
22398
LICENSE
WV
05
—
3810005928
—
WV
Enumeration date
07/21/2006
Last updated
05/01/2009
Update your record
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