Individual
DR. BILAL ITANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
233 S MINERAL ST, KEYSER, WV 26726-2643
(304) 788-0202
(304) 788-4377
Mailing address
233 S MINERAL ST, KEYSER, WV 26726-2643
(304) 788-0202
(304) 788-4377
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16425
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043316000
—
WV
Enumeration date
08/10/2005
Last updated
01/24/2017
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