Organization · Type 2 NPI

Michael M Boustany MD Inc

Vascular Surgery Physician · Charleston, WV

NPI number 1326044710 Active

Practice location

415 Morris St, Ste 105
Charleston, WV 25301-1840

Fax (304) 343-3441

Mailing address

PO Box 3850
Charleston, WV 25338-3850

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X10600 (WV)
Vascular Surgery Physician Primary 2086S0129X10600 (WV)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

43 other providers at this address

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About NPI 1326044710

Michael M Boustany MD Inc's National Provider Identifier is 1326044710, issued on Jun 22, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Charleston, WV. The record was last updated on Sep 11, 2025.