Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MT191194 | PA |
Y | 207VX0201X | Gynecologic Oncologist | 25793 | WV |
N | 207VX0201X | Gynecologic Oncologist | ME109243 | FL |
NPI | 1386836401 |
---|---|
Provider Name | Dr. Nadim Louis Bou Zgheib |
First Address | Huntington, WV 25701-4114 |
Second Address | Huntington, WV 25701-4114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 06/12/2021 |