Organization · Type 2 NPI
Bandak Plastic Surgery PLLC
Plastic and Reconstructive Surgery Physician · Charleston, WV
NPI number
1457564213
Active
Practice location
4920 Maccorkle Ave SE
Charleston, WV 25304-2052
Fax (304) 925-4666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 21839 (WV) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
2 other providers at this address
About NPI 1457564213
Bandak Plastic Surgery PLLC's National Provider Identifier is 1457564213, issued on May 8, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Charleston, WV. The record was last updated on Aug 22, 2020.