# APPALACHIA PATHOLOGY CONSULTANTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689037780
- **Authorized official:** FAHAD FUAD BAFAKIH MD (OWNER)
- **Authorized official phone:** (304) 831-1555

## Contact information

- **Practice address:** 20 HOSPITAL DR, LOGAN, WV 25601-3452
- **Practice address phone:** (304) 831-1101
- **Mailing address:** PO BOX 58310, CHARLESTON, WV 25358-0310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 24687 | WV | Yes |

## Other

- **Enumeration date:** 04/05/2016
- **Last updated:** 08/16/2019