BANDAK PLASTIC SURGERY PLLC is a plastic and reconstructive surgery surgery in Charleston, WV. The provider is a surgeon who specializes in plastic and reconstructive surgery. BANDAK PLASTIC SURGERY PLLC NPI is 1457564213. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4920 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-052
Phone: (304) 925-4665
Fax: (304) 925-4666
The provider's authorized official is Abdalla Z Bandak .
The authorized official title is Owner and has the following contact phone number (304) 925-4665.
The CLIA number assigned to this NPI record is 51D2216430 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/8/2007 and was last updated on 8/22/2020.