Doctor Name: | DR. ROLA MICHELLE GHARIB |
NPI Number: | 1760686927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 22479 |
Business Practice Address: | 101 Stadium Dr Morgantown, WV - 265067911 |
Business Phone Number: | 3042937401 |
Business Fax Number: | 3042936963 |
Mailing Address: | Po Box 897, MORGANTOWN |
State: | WV |
Postal Code: | 265070897 |
Phone Number: | 3042937401 |
Fax Number: | 3042936963 |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 22479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |