Provider Demographics
NPI:1871722942
Name:HALABI, NARIMAN A (MD)
Entity type:Individual
Prefix:DR
First Name:NARIMAN
Middle Name:A
Last Name:HALABI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:500 EAGLE VIEW WAY
Mailing Address - Street 2:UNIT 4
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25306
Mailing Address - Country:US
Mailing Address - Phone:304-206-5762
Mailing Address - Fax:
Practice Address - Street 1:331 LAIDLEY ST
Practice Address - Street 2:SUITE208
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1619
Practice Address - Country:US
Practice Address - Phone:304-414-4871
Practice Address - Fax:304-414-4872
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WV25579207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810027414Medicaid
WV3810027414Medicaid
WV3810027414Medicaid
WV3810024049OtherMEDICAID GROUP NUMBER