Sissoko, Moussa

Sissoko, Moussa is an individual health care provider with primary practice located at 3415 Maccorkle Avenue Se , Charleston WV 25304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Sissoko, Moussa can be contacted via phone (304) 388-8380.

Contact Information

Primary practice address
3415 Maccorkle Avenue Se Charleston WV 25304
Phone: (304) 388-8380
Fax: (304) 388-8395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 24149 West Virginia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 24149 West Virginia

Profile Details

NPI number 1669679809
LBN Legal business name Sissoko, Moussa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Dec 28th, 2015 - about 9 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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