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Contact Information

ABDALLA Z BANDAK, MD
4920 MACCORKLE AVE SE
CHARLESTON, WV25304-2052
 Phone: 304-741-5510
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ABDALLA Z BANDAK · (Male)

NPI Number 1811980113
Status Active
Credentials MD
Entity Individual
Enumeration date 08/23/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 21839
  • WV Medicaid 3810002535
  • WV Other 5531469 AETNA
  • WV Other 318939 CARELINK
  • WV Other 2532033 CIGNA
Hospital affiliation(s)
  • THOMAS MEMORIAL HOSPITAL - (Acute Care)
    4605 MACCORKLE AVE SW
    SOUTH CHARLESTON, WV 25309
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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