Individual
YASIER KANAWATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 CHERRY ST, SUITE 305, BLUEFIELD, WV 24701-3338
(304) 325-5711
(304) 327-1789
Mailing address
510 CHERRY ST, SUITE 305, BLUEFIELD, WV 24701-3338
(304) 325-5711
(304) 327-1789
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12690
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002999000
—
WV
05
—
6300138
—
VA
Enumeration date
06/09/2006
Last updated
07/08/2007
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