Istfan, Michael A
Istfan, Michael A is an individual health care provider with primary practice located at 4610 Kanawha Ave Sw Suite 301, South Charleston WV 25309-1367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Istfan, Michael A can be contacted via phone (304) 720-8701.Contact Information
Primary practice address
4610 Kanawha Ave Sw Suite 301
South Charleston WV 25309-1367
Phone: (304) 720-8701
Fax: (304) 720-8702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 14366 | West Virginia |
Profile Details
| NPI number | 1386650760 |
|---|---|
| LBN Legal business name | Istfan, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Mar 7th, 2017 - about 8 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 | 1386650760 | NPPES |
| West Virginia | MEDICAID | 3910000444 |
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