Boustany, Marc Kamel

Boustany, Marc Kamel is an individual health care provider with primary practice located at 725 Volvo Pkwy Ste 210 , Chesapeake VA 23320-1621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Boustany, Marc Kamel can be contacted via phone (757) 261-5000.

Contact Information

Primary practice address
725 Volvo Pkwy Ste 210 Chesapeake VA 23320-1621
Phone: (757) 261-5000
Fax: (757) 962-5610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101221457 Virginia
Other Service Providers / Specialist 174400000X 0101221457 Virginia

Profile Details

NPI number 1750386041
LBN Legal business name Boustany, Marc Kamel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Feb 17th, 2022 - about 2 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 1750386041 NPPES
Virginia MEDICAID 007309996

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