Basic Information
Provider Information
NPI: 1407060015
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHWEIHAT
FirstName: YOUSEF
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1249 15TH STREET
Address2: STE 3000
City: HUNTINGTON
State: WV
PostalCode: 25701
CountryCode: US
TelephoneNumber: 3046911000
FaxNumber: 3046911693
Practice Location
Address1: 1249 15TH STREET
Address2: STE 3000
City: HUNTINGTON
State: WV
PostalCode: 25701
CountryCode: US
TelephoneNumber: 3046911000
FaxNumber: 3046911693
Other Information
ProviderEnumerationDate: 05/10/2007
LastUpdateDate: 11/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X24450WVN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200X24450WVN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001X24450WVY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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