Individual
FADI ALYASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5432
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
105358
GA
207R00000X
Internal Medicine Physician
Primary
35716
WV
Other
Enumeration date
03/18/2022
Last updated
11/24/2025
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