Mossallati, Saad
Mossallati, Saad is an individual health care provider with primary practice located at 527 Medical Park Drive Suite 204, Bridgeport WV 26330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mossallati, Saad can be contacted via phone (304) 933-3800.Contact Information
Primary practice address
527 Medical Park Drive Suite 204
Bridgeport WV 26330
Phone: (304) 933-3800
Fax: (304) 933-3815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | WV13308 | West Virginia |
Profile Details
| NPI number | 1003900283 |
|---|---|
| LBN Legal business name | Mossallati, Saad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jun 9th, 2011 - about 15 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 | 1003900283 | NPPES |
| West Virginia | MEDICAID | 0128388000 | |
| West Virginia | Other | 110025127 | |
| West Virginia | Other | 000421910 |
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