Individual
TAYSIR BSISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 1ST AVE RM 1025, HUNTINGTON, WV 25702-1241
(304) 399-7484
(304) 399-7579
Mailing address
1249 15TH ST STE 200, HUNTINGTON, WV 25701-3662
(304) 691-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32473
WV
Other
Enumeration date
04/30/2020
Last updated
11/24/2023
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