Emad Y Mousa is a Addiction Medicine in Logan, . Emad Y Mousa practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Emad Y Mousa is 1003070194. The last update date is 2018-03-17.
Emad Y Mousa's current location address is Po Box 119, Logan, . You can contact this provider via phone number 3048965200 and fax number 3048965300. The mailing address for Emad Y Mousa is Po Box 119, Logan, . To know further, please read the information below!
Provider Profile Detail
Provider Name | Emad Y Mousa |
---|---|
Address | Po Box 119, Logan, |
Phone Number | 3048965200 |
Fax Number | 3048965300 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1003070194 |
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Provider Enumeration Date | 2008-07-17 |
Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
Address | Po Box 119 |
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City | Logan |
State | (WV) |
Post Code | 25601 |
Phone Number | 3048965200 |
Fax Number | 3048965300 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 207Qa0401X |
Licence No | 24508 |
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1003070194 | WV | WV MEDICARE | |
1003070194 | WV | -- | |
11865318 | OH | CAQH | |
2873029 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Emad Y Mousa?
The Emad Y Mousa has been issued the NPI (National Provider Identifier) 1003070194 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Emad Y Mousa is physically located?
The Emad Y Mousa is physically situated at the following address: Po Box 119, Logan, WV, 25601.
What is Emad Y Mousa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Emad Y Mousa is Addiction Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0401X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003070194 to Emad Y Mousa?
The Emad Y Mousa received its 1003070194 assignment from the Centers for Medicare & Medicaid Services on 2008-07-17.
When was the information regarding Emad Y Mousa most recently updated?
The details pertaining to the Emad Y Mousa, including its address, specialty, and other relevant information, were last refreshed on 2018-03-17.
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