National Provider Identifier Database

BANDAK PLASTIC SURGERY PLLC
Plastic and Reconstructive Surgery


Contact Information

BANDAK PLASTIC SURGERY PLLC
4920 MACCORKLE AVE SE
CHARLESTON, WV25304-2052
Phone: 304-925-4665
Fax: 304-925-4666
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for BANDAK PLASTIC SURGERY PLLC

NPI Number 1457564213
Legal business name
LBN
BANDAK PLASTIC SURGERY PLLC
Authorized official ABDALLA BANDAK - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/08/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 21839

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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