Individual
DR. WADIH KABBARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 STANAFORD RD, BECKLEY, WV 25801-3140
(304) 253-2225
(304) 253-2285
Mailing address
250 STANAFORD RD, BECKLEY, WV 25801-3140
(304) 253-2225
(304) 253-2285
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
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