Individual
AHMAD BALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 S RUFFNER RD STE 2, CHARLESTON, WV 25314-1542
(304) 346-2254
(304) 346-3184
Mailing address
400 S RUFFNER RD STE 2, CHARLESTON, WV 25314-1542
(304) 346-2254
(304) 346-3184
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21044
WV
2086S0129X
Vascular Surgery Physician
21044
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1812616001
—
WV
05
—
2535813
—
OH
05
—
64058845
—
KY
Enumeration date
06/22/2005
Last updated
07/28/2025
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