Individual
GHALI IBRAHIM-BACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 35TH ST SE, SUITE 11, CHARLESTON, WV 25304-1352
(304) 720-9595
(304) 720-9596
Mailing address
310 35TH ST SE, SUITE 11, CHARLESTON, WV 25304-1352
(304) 720-9595
(304) 720-9596
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19464
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082173000
—
WV
Enumeration date
09/20/2006
Last updated
07/24/2013
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