Individual
DR. MICHAEL A ISTFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4610 KANAWHA AVE SW, SUITE 301, SOUTH CHARLESTON, WV 25309-1367
(304) 720-8701
(304) 720-8702
Mailing address
4610 KANAWHA AVE SW, SUITE 301, SOUTH CHARLESTON, WV 25309-1367
(304) 720-8701
(304) 720-8702
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
14366
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3910000444
—
WV
Enumeration date
07/31/2006
Last updated
03/07/2017
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