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Dr. Abdalla Zackaria Bandak, MD
Plastic and Reconstructive Surgery Physician in Charleston, West Virginia
NPI 1811980113

Abdalla Zackaria Bandak is a Plastic and Reconstructive Surgery Physician based in Charleston, WV and is specialized in Plastic and Reconstructive Surgery. Abdalla Zackaria Bandak practices in Charleston, WV and has the professional credentials of MD. The NPI Number for Abdalla Zackaria Bandak is 1811980113 and holds a License No. 21839 (West Virginia).

The current practice location address for Abdalla Zackaria Bandak is 4920 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-741-5510.

Location: 4920 Maccorkle Ave Se, Charleston, WV, 25304-2052
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Provider Profile Details
NPI Number
1811980113
Provider Name
Abdalla Zackaria Bandak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4920 Maccorkle Ave Se, Charleston, WV, 25304-2052
Phone Number
304-741-5510
Fax Number
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2532033 01 WV CIGNA
318939 01 WV CARELINK
3810002535 05 WV
5531469 01 WV AETNA
institution
Provider Business Practice Location Address Details
Address
4920 Maccorkle Ave Se
City
State
Zip
25304-2052
Phone Number
304-741-5510
Fax Number
person
Provider Business Mailing Address Details
Address
4920 Maccorkle Ave Se
City
State
Zip
25304-2052
Phone Number
304-741-5510
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
21839 (West Virginia)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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