Individual
AMAL FUSTOK SAKKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
331 LAIDLEY ST, SUITE 406, CHARLESTON, WV 25301-1619
(304) 346-1410
(304) 344-0188
Mailing address
331 LAIDLEY ST, SUITE 406, CHARLESTON, WV 25301-1619
(304) 346-1410
(304) 344-0188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19073
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080971000
—
WV
Enumeration date
04/19/2006
Last updated
01/30/2013
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