Itani, Bilal
Itani, Bilal is an sole proprietor health care provider with primary practice located at 233 S Mineral St , Keyser WV 26726-2643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Itani, Bilal can be contacted via phone (304) 788-0202.Contact Information
Primary practice address
233 S Mineral St
Keyser WV 26726-2643
Phone: (304) 788-0202
Fax: (304) 788-4377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 16425 | West Virginia |
Profile Details
| NPI number | 1619978731 |
|---|---|
| LBN Legal business name | Itani, Bilal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jan 24th, 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 | 1619978731 | NPPES |
| West Virginia | MEDICAID | 0043316000 |
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