Individual
EMAD A KOWATLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
20169
WV
207RP1001X
Pulmonary Disease Physician
Primary
20169
WV
Other
Enumeration date
07/01/2005
Last updated
10/31/2022
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