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Emad Y Mousa, MD
Obstetrics Physician in Logan, West Virginia
NPI 1003070194

Emad Y Mousa is a Obstetrics Physician based in Logan, WV and is specialized in Obstetrics. Emad Y Mousa practices in Logan, WV and has the professional credentials of MD. The NPI Number for Emad Y Mousa is 1003070194 and holds a License No. 24508 (West Virginia).

The current practice location address for Emad Y Mousa is 77 Hospital Dr Ste 200, Logan, WV and can be reached out via phone at 304-896-5200 and via fax at 304-896-5300.

Location: 77 Hospital Dr Ste 200, Logan, WV, 25601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003070194
Provider Name
Emad Y Mousa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
77 Hospital Dr Ste 200, Logan, WV, 25601
Phone Number
304-896-5200
Fax Number
304-896-5300
Provider Enumeration Date
07/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003070194 01 WV WV MEDICARE
1003070194 05 WV
11865318 01 OH CAQH
2873029 05 OH
institution
Provider Business Practice Location Address Details
Address
77 Hospital Dr Ste 200
City
Logan
State
West Virginia
Zip
25601-3451
Phone Number
304-896-5200
Fax Number
304-896-5300
person
Provider Business Mailing Address Details
Address
77 Hospital Dr Ste 200
City
Logan
State
West Virginia
Zip
25601-3451
Phone Number
304-896-5200
Fax Number
304-896-5300
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
24508 (West Virginia)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
35092078 (Ohio)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
24508 (West Virginia)
Definition
Definition to come...
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