Individual
SAAD MOSSALLATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
527 MEDICAL PARK DRIVE, SUITE 204, BRIDGEPORT, WV 26330
(304) 933-3800
(304) 933-3815
Mailing address
527 MEDICAL PARK DRIVE, SUITE 204, BRIDGEPORT, WV 26330
(304) 933-3800
(304) 933-3815
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
WV13308
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000421910
BCBS
WV
05
—
0128388000
—
WV
01
—
110025127
RR MEDICARE
WV
Enumeration date
10/03/2006
Last updated
06/09/2011
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