Provider Demographics
NPI:1154973261
Name:ZOUHAIR KABBARA MD INC
Entity type:Organization
Organization Name:ZOUHAIR KABBARA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZOUHAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KABBARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-253-2225
Mailing Address - Street 1:250 STANAFORD RD STE 102
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3140
Mailing Address - Country:US
Mailing Address - Phone:304-253-2225
Mailing Address - Fax:304-253-2285
Practice Address - Street 1:250 STANAFORD RD STE 102
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3140
Practice Address - Country:US
Practice Address - Phone:304-253-2225
Practice Address - Fax:304-253-2285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty