Organization
BANDAK PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDALLA Z BANDAK M.D. (OWNER)
(304) 925-4665
Entity
Organization
Contact information
Practice address
4920 MACCORKLE AVE SE, CHARLESTON, WV 25304-2052
(304) 925-4665
(304) 925-4666
Mailing address
4920 MACCORKLE AVE SE, CHARLESTON, WV 25304-2052
(304) 925-4665
(304) 925-4666
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
21839
WV
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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