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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 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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