DR. ABDALLA ZACKARIA BANDAK MD NPI 1811980113

NPI Information

DR. Abdalla Zackaria Bandak, MD is a plastic and reconstructive surgery surgery in Charleston, WV. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Abdalla Zackaria Bandak, MD NPI is 1811980113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4920 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-052
Phone: (304) 741-5510

The NPI 1811980113 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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