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Fairmont Neurology Clinic, Pllc

Neurology Physician in Morgantown, WV · enumerated 2006 · authorized official Mouhannad Azzouz, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609974641

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Registry record

Entity type Organization (Type 2)
Legal business name Fairmont Neurology Clinic, Pllc
Practice address 1188 Pineview Dr Ste 100, Morgantown, WV, 26505
Fax (304) 825-6577
Enumeration date Sep 21, 2006
Last updated in NPPES May 31, 2024

Taxonomy & classification

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License WV20408 (WV) Primary

Authorized official

Name Mouhannad Azzouz
Title Owner

Other identifiers

Identifier Type State Issuer
WV20408 Other WV THE HEALTH PLAN
7787352 Other WV AETNA
001721746 Other WV BLUE CROSS BLUE SHIELD
1807858000 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-05-31. Verify at npiregistry.cms.hhs.gov.
Where is Fairmont Neurology Clinic, Pllc located?
The practice location on file with NPPES is in Morgantown, WV.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-31.