Organization
APPALACHIA PATHOLOGY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAHAD FUAD BAFAKIH MD (OWNER)
(304) 831-1555
Entity
Organization
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1101
Mailing address
PO BOX 58310, CHARLESTON, WV 25358-0310
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
24687
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689037780
—
WV
05
—
7100521970
—
KY
Enumeration date
04/05/2016
Last updated
08/16/2019
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