Individual
DR. JOHN BISHOY BISHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
830 PENNSYLVANIA AVE STE 408, CHARLESTON, WV 25302
(304) 388-1552
(304) 388-1565
Mailing address
830 PENNSYLVANIA AVE, STE 103, CHARLESTON, WV 25302-3389
(304) 388-1552
(304) 388-1565
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
20A15272
CA
2080P0214X
Pediatric Pulmonology Physician
Primary
3354
WV
Other
Enumeration date
07/16/2010
Last updated
04/06/2022
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