Individual
MEHRETTE M MARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4270 US ROUTE 60, HUNTINGTON, WV 25705-2936
(304) 781-3610
(304) 781-3611
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
22808
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3108247
—
OH
05
—
3810018589
—
WV
01
—
P00848497
MEDICARE RAILROAD
—
Enumeration date
05/09/2007
Last updated
09/03/2025
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