Individual
MOUHANNAD AZZOUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 MON HEALTH MEDICAL PARK DR STE 1102, MORGANTOWN, WV 26505-1143
(304) 598-2801
Mailing address
1000 MON HEALTH MEDICAL PARK DR STE 1102, MORGANTOWN, WV 26505-1143
(304) 598-2801
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
WV20408
WV
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
20408
WV
2084V0102X
Vascular Neurology Physician
20408
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001783384
BCBS INDIVIDUAL
WV
05
—
1807858000
—
WV
01
—
7787352
AETNA
WV
01
—
WV20408
THE HEALTH PLAN
WV
Enumeration date
03/19/2007
Last updated
04/30/2026
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