DR. MOUWAFAK GHANNAM


Address: 4501 Maccorkle Ave Sw, Suite 401, South Charleston, WV 25309-1444
Phone: 3047686941

DR. MOUWAFAK GHANNAM (NPI# 1952429813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952429813
Entity Type Individual
Full Name DR. MOUWAFAK GHANNAM
Credential M.D.
Practice Address 4501 Maccorkle Ave Sw
Suite 401
South Charleston
WV 25309-1444
Practice Telephone 3047686941
Practice Fax Number 3047686919
Mailing Telephone 3047686941
Mailing Fax Number 3047686919
Enumeration Date 2007-03-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 10886 WV Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 0101288000 05

Office Location

Street Address 4501 MACCORKLE AVE SW
SUITE 401
City SOUTH CHARLESTON
State WV
Zip Code 25309-1444

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386639243 Larry Douglas Curnutte Obstetrics & Gynecology 4501 Maccorkle Ave Sw, Suite 200, South Charleston, WV 25309-1444 2005-09-16
1821453192 Bee Well Pharmacy Inc. Pharmacy 4501 Maccorkle Ave Sw, South Charleston, WV 25309-1444 2015-12-30
1811161524 Woman Care Clinic Inc Obstetrics & Gynecology 4501 Maccorkle Ave Sw, Suite 200, South Charleston, WV 25309-1444 2008-04-15
1215126990 Comprecare Services, Inc Durable Medical Equipment & Medical Supplies 4501 Maccorkle Ave Sw, Suite 101, South Charleston, WV 25309-1444 2007-10-18
1649476169 Michael L. Harris Md, Ltd Eyewear Supplier (Equipment, not the service) 4501 Maccorkle Ave Sw, Suite 500, South Charleston, WV 25309-1444 2007-06-22
1174649347 Metamorphosis Counseling, Inc Counselor 4501 Maccorkle Ave Sw, Suite 103, South Charleston, WV 25309-1444 2007-03-21
1790819373 Prestige Primary Care Associates, Pllc Internal Medicine 4501 Maccorkle Ave Sw, Suite 301, South Charleston, WV 25309-1444 2007-03-15
1841373529 Gary D Harris Audiologist 4501 Maccorkle Ave Sw, Suite 402, South Charleston, WV 25309-1444 2006-10-24
1730260399 Michael L. Harris, M.d., Ltd. Ophthalmology 4501 Maccorkle Ave Sw, Suite 500, South Charleston, WV 25309-1444 2006-10-18
1841388550 Randall Alan Clifford Counselor 4501 Maccorkle Ave Sw, Ste 103, South Charleston, WV 25309-1444 2006-10-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699376905 Lovie Bradshaw Technician 4823 Tennessee St., South Charleston, WV 25309 2020-11-03
1306447735 Barbara Mackenzie Technician 4224 Kanawha Turnpike, South Charleston, WV 25309 2020-11-03
1548861974 Sarah Nichols Technician 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 2020-11-03
1629690177 Jennifer Mabry-goins Technician 4505 River Avenue, S Charleston, WV 25309 2020-05-07
1811537715 Brandon C Dean Psychologist 4857 Macorkle Ave. Sw, South Charleston, WV 25309 2020-01-09
1467096057 Linda Mullins Technician 60 Hayvon Lane, South Charleston, WV 25309 2019-11-06
1831743616 Ann Myriah Beck Nurse Practitioner 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 2019-07-30
1942671227 Edward W Eskew Family Medicine 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 2015-10-13
1720468218 Link Investments LLC Pharmacy 5151 Macorkle Avenue, South Charleston, WV 25309 2015-06-01
1366840951 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 304 Southbridge Blvd., S.ccharleston, WV 25309 2014-12-12
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518371988 Wv Medical Services, Inc Specialist 4816 1/2 Pennsylvania Ave Sw, South Charleston, WV 25309-1337 2014-06-13
1700126257 Gilbert Goliath Md Pllc Specialist 4607 Maccorkle Ave Sw Suite 400, South Charleston, WV 25309 2013-02-20
1053594267 Mary Elizabeth Taylor Specialist 117 7th Avenue, South Charleston, WV 25303 2007-12-11
1700086717 Charleston Obstetrics and Gynecology Associates Pllc Specialist 4607 Maccorkle Ave Sw Ste 201, South Charleston, WV 25309-1364 2007-07-19
1649475914 Solutions Positive Behavior Strategies, LLC Specialist 1 Oak Drive, South Charleston, WV 25309 2007-06-18
1710198858 Kimberly Dawn Warren Specialist 4834 Maccorkle Ave Sw, South Charleston, WV 25309-1340 2007-05-24
1750594529 Bassam N Shamma, M.d., Pllc Specialist 4607 Maccorkle Ave Sw Ste 301, South Charleston, WV 25309-1364 2007-05-08
1669508438 Kanawha Valley Heart Specialists Specialist 4610 Kanawha Ave, Sw, Suite 200, South Charleston, WV 25309-1320 2007-02-26
1578620696 Badshah J. Wazir Specialist 428 Division St, South Charleston, WV 25309-1469 2007-01-02
1730280694 Osterman Cotes Specialist 500 Poplar Street, Suite 200, South Charleston, WV 25309-1474 2006-09-25
Find all providers in SOUTH CHARLESTON

Competitor

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City SOUTH CHARLESTON
Zip Code 25309

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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