Shaalan, M. Bashar

Shaalan, M. Bashar is an individual health care provider with primary practice located at 3200 Maccorkle Avenue Se Hospitalist Program, Charleston WV 25304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Shaalan, M. Bashar can be contacted via phone (304) 388-5848.

Contact Information

Primary practice address
3200 Maccorkle Avenue Se Hospitalist Program Charleston WV 25304
Fax: (304) 388-9654
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 20912 West Virginia

Profile Details

NPI number 1194725580
LBN Legal business name Shaalan, M. Bashar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Sep 15th, 2017 - about 7 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 1194725580 NPPES
West Virginia Other 7753698 AETNA
West Virginia Other 001766463 AETNA
West Virginia MEDICAID 3810006535 AETNA

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