| M I Dababnah Md Inc | |
|
856 S. Ritter Dr. Beaver WV 25813 | |
| (304) 255-4845 | |
| (304) 255-4845 |
| Full Name | M I Dababnah Md Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 856 S. Ritter Dr., Beaver, West Virginia |
| Authorized Official Name and Position | Mousa I Dababnah (PRESIDENT) |
| Authorized Official Contact | 3042554845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M I Dababnah Md Inc Po Box 247 856 S. Ritter Dr Beaver WV 25813-0247 Ph: (304) 255-4845 | M I Dababnah Md Inc 856 S. Ritter Dr. Beaver WV 25813 Ph: (304) 255-4845 |
| NPI Number | 1457476525 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457476525 | NPI | - | NPPES |
| 0134848 | Other | WV | UMWA |
| 8750169013 | Other | WV | ME |
| 3810009229 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10670 (West Virginia) | Primary |