Emad Y Mousa
Obstetrician & Gynecologist Family Doctor - Addiction Medicine Obstetrician
77 Hospital Dr Ste 200
Logan
, West Virginia 25601-3451
Emad Y Mousa
Obstetrician & Gynecologist Family Doctor - Addiction Medicine Obstetrician
77 Hospital Dr Ste 200
Logan
, West Virginia 25601-3451
(304) 896-5300
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- Obstetrician & Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Emad Y Mousa
- Po Box 119
- Logan, WV
- Zip : 25601
- Fax : (304) 896-5300
- Phone : (304) 896-5200
Second Address
- Emad Y Mousa
- 77 Hospital Dr Ste 200
- Logan, WV
- Zip : 25601-3451
- Fax : (304) 896-5300
- Phone : (304) 896-5200
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FAQs
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What type of doctor is Emad Y Mousa
In what state does Emad Y Mousa practice in?
Where is Emad Y Mousa ’s practice located?
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Is Emad Y Mousa a sole practitioner?
Is Emad Y Mousa accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0401X | Family Doctor - Addiction Medicine | 24508 | WV |
| N | 207V00000X | Obstetrician & Gynecologist | 35092078 | OH |
| Y | 207VX0000X | Obstetrician | 24508 | WV |
National Provider Identifier
| NPI | 1003070194 |
|---|---|
| Provider Name | Emad Y Mousa |
| First Address | Logan, WV 25601 |
| Second Address | Logan, WV 25601-3451 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2008 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003070194 | (05) | WV |
| 1003070194 | WV MEDICARE (01) | WV |
| 11865318 | CAQH (01) | OH |
| 2873029 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.