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Contact Information

BALI SURGICAL PRACTICE PLLC
400 COURT ST STE 203
CHARLESTON, WV25301-1653
 Phone: 304-346-2254
 Fax: 304-346-3184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for BALI SURGICAL PRACTICE PLLC

NPI # 1659419653
LBN Legal business name BALI SURGICAL PRACTICE PLLC
Authorized official VEDA EVANS - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2007
Last updated 09/04/2024 - More than a year ago
Identifiers
WV Medicaid 3810009656
WV Other 001834802 BLUE CROSS
WV Other 1689670069 INDIVIUAL NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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