Active NPI
Murshid Khader Abdel-Latif, MD
- Obstetrics & Gynecology Physician
- Morgantown, WV
National Provider Identifier
1235327404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 17237
- Practice address
- 2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505 - Phone
- (304) 599-6811
- Fax
- (304) 599-7159
- NPI assigned
- Oct 12, 2007
- Last updated
- Sep 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 17237 | WV | |
| Obstetrics & Gynecology Physician | 207V00000X | 17237 | WV | Primary |
Addresses
Primary practice location
2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505
Mailing address
2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505-1134
Phone (304) 599-6811
Other practice location 1
1191 Pineview Dr Ste H
Morgantown, WV 26505-2778
Phone (304) 212-5620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4101771 | Medicaid | WV | |
| WV26380281 | Other | WV | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17237 | WV | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1235327404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2100",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051134",
"telephone_number": "304-599-6811",
"fax_number": "304-599-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2100",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26505",
"telephone_number": "304-599-6811",
"fax_number": "304-599-7159"
}
],
"practiceLocations": [
{
"address_1": "1191 Pineview Dr Ste H",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265052778",
"country_code": "US",
"telephone_number": "304-212-5620",
"fax_number": "304-241-4645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDEL-LATIF",
"first_name": "MURSHID",
"middle_name": "KHADER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-12",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WV",
"license": "17237",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WV",
"license": "17237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4101771",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "WV26380281",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.