Bali Surgical Practice Pllc
LBN: Bali Surgical Practice Pllc
Bali Surgical Practice Pllc is an health care organization with primary practice located at 401 Division St Suite 202, South Charleston WV 25309-1455. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Bali Surgical Practice Pllc can be contacted via phone (304) 767-7800, or through Bali, Ahmad via phone (304) 767-7800.
Contact Information
Primary practice address
401 Division St Suite 202
South Charleston WV 25309-1455
Phone: (304) 767-7800
Fax: (304) 767-7805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 21044 | West Virginia |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 21044 | West Virginia |
Profile Details
| NPI number | 1659419653 |
|---|---|
| LBN Legal business name | Bali Surgical Practice Pllc |
| DBA Doing business as | |
| Authorized official | Bali, Ahmad Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Dec 12th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659419653 | NPPES |
| West Virginia | Other | 1689670069 | INDIVIUAL NPI |
| West Virginia | MEDICAID | 3810009656 | INDIVIUAL NPI |
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