BANDAK PLASTIC SURGERY PLLC


Address: 4920 Maccorkle Ave Se, Charleston, WV 25304-2052
Phone: 3049254665

BANDAK PLASTIC SURGERY PLLC (NPI# 1457564213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457564213
Entity Type Organization
Organization Name BANDAK PLASTIC SURGERY PLLC
Practice Address 4920 Maccorkle Ave Se
Charleston
WV 25304-2052
Practice Telephone 3049254665
Practice Fax Number 3049254666
Mailing Telephone 3049254665
Mailing Fax Number 3049254666
Enumeration Date 2007-05-08
Last Update Date 2020-08-22
Authorized Official Name DR. ABDALLA Z BANDAK (OWNER)
Authorized Official Telephone 3049254665
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
21839 WV Allopathic & Osteopathic Physicians

Office Location

Street Address 4920 MACCORKLE AVE SE
City CHARLESTON
State WV
Zip Code 25304-2052

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811980113 Abdalla Zackaria Bandak Surgery 4920 Maccorkle Ave Se, Charleston, WV 25304-2052 2005-08-23
1104888171 Afif S Habash Pediatrics 4920 Maccorkle Ave Se, Charleston, WV 25304-2052 2006-04-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740893908 Sade Yvonne Rice Technician 392 B South Parkd Rd, Charleston, WV 25304 2020-08-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1447811872 Kwasi Amponsah Gambrah Student in an Organized Health Care Education/Training Program 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 2019-06-26
1457916751 Divya Kalluru Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 2019-05-02
1841854965 Sean Michael Percy Losier Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 2019-04-24
1700440047 Priyanka Chowdhry Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 2019-04-23
1568925469 Saranya Dinesan Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 2019-04-09
1043771694 Mary Elizabeth Novak Student in an Organized Health Care Education/Training Program Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 2019-03-27
1124518600 Abdullah Sohail Student in an Organized Health Care Education/Training Program 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 2018-05-10
Find all providers in zip 25304

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346365418 William Aaron Ross Surgery 210 Brooks St, Suite 200, Charleston, WV 25301-1855 2007-03-20
1780797449 Marcelo L. Hochman Surgery 2097 Henry Techlenburg Dr, Suite 212 West, Charleston, SC 29416-5739 2006-08-16
1811980113 Abdalla Zackaria Bandak Surgery 4920 Maccorkle Ave Se, Charleston, WV 25304-2052 2005-08-23
1891223012 Sami Paul Tarabishy Surgery 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 2017-06-01
1336328467 John David Hayes Surgery 210 Brooks St, Suite 200, Charleston, WV 25301-1855 2007-10-25
1871669390 The Facial Surgery Center Surgery 2097 Henry Tecklenburg Dr, Suite 211 West, Charleston, SC 29414-5740 2006-11-27
1215042155 Seung-jun O Surgery 2097 Henry Tecklenburg Dr, Suite 211 West, Charleston, SC 29414-5740 2006-08-20
1760405336 John Robinson Surgery 171 Ashley Ave, Charleston, SC 29425-0001 2006-07-25
1184655862 Tracy Harvey Surgery 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 2006-07-05
1790716488 Richard Hagerty Surgery 261 Calhoun St, Suite 200, Charleston, SC 29401-1371 2006-07-05
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 25304

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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