Individual
UMAR KHAN BAZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MD
Contact information
Practice address
3200 MACCORKLE AVE, SE, CHARLESTON, WV 25304
(304) 388-5590
(304) 388-8238
Mailing address
3200 MACCORKLE AVE, SE, CHARLESTON, WV 25304
(304) 388-9998
(304) 388-9949
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
07/12/2024
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