Boustani, Maria Rizkallah

Boustani, Maria Rizkallah is an individual health care provider with primary practice located at 421 Carriage Dr , Beckley WV 25801-2805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Boustani, Maria Rizkallah can be contacted via phone (304) 256-0242.

Contact Information

Primary practice address
421 Carriage Dr Beckley WV 25801-2805
Phone: (304) 256-0242
Fax: (304) 256-0244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 18402 West Virginia

Profile Details

NPI number 1518917632
LBN Legal business name Boustani, Maria Rizkallah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Nov 18th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518917632 NPPES
West Virginia Other 001711048 BLUE CROSS BLUE SHIELD

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