Individual
DR. M. BASHAR SHAALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM, CHARLESTON, WV 25304
(304) 388-5848
(304) 388-9654
Mailing address
3200 MACCORKLE AVE SE, STE B16, CHARLESTON, WV 25304-1227
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
20912
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001766463
MS BCBS
WV
05
—
3810006535
—
WV
01
—
7753698
AETNA
WV
Enumeration date
07/28/2005
Last updated
09/15/2017
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