Individual
ELIE G GHARIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4610 KANAWHA AVE SW, SUITE 200, SOUTH CHARLESTON, WV 25309-1367
(304) 205-7992
(304) 205-7739
Mailing address
4610 KANAWHA AVE, SW, SUITE 200, SOUTH CHARLESTON, WV 25309-1364
(304) 205-7992
(304) 205-7739
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
19778
WV
207RI0011X
Interventional Cardiology Physician
Primary
19778
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2247483
—
OH
05
—
3002421000
—
WV
05
—
64033616
—
KY
Enumeration date
03/21/2006
Last updated
01/18/2013
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