Bandak, Abdalla Zackaria
Bandak, Abdalla Zackaria is an individual health care provider with primary practice located at 4920 Maccorkle Ave Se , Charleston WV 25304-2052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Bandak, Abdalla Zackaria can be contacted via phone (304) 741-5510.Contact Information
Primary practice address
4920 Maccorkle Ave Se
Charleston WV 25304-2052
Phone: (304) 741-5510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 21839 | West Virginia |
Profile Details
| NPI number | 1811980113 |
|---|---|
| LBN Legal business name | Bandak, Abdalla Zackaria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811980113 | NPPES |
| West Virginia | Other | 2532033 | CIGNA |
| West Virginia | Other | 318939 | CIGNA |
| West Virginia | MEDICAID | 3810002535 | CIGNA |
| West Virginia | Other | 5531469 | CIGNA |
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