Individual provider · Type 1 NPI
Michael M. Boustany, MD
Surgery Physician · South Charleston, WV
Practice location
434 Division St
South Charleston, WV 25309
Fax (304) 766-7180
Mailing address
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Other practice locations
- 4605 Maccorkle Ave SW, South Charleston, WV 25309-1311 · (304) 414-4800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 10600 (WV) |
| Surgery Physician Primary | 208600000X | 10600 (WV) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
Other surgery physician providers in South Charleston
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- Seth Williams, MDSurgery Physician South Charleston, WV NPI 1225583347
- Johnna Michelle Jackson, DOSurgery Physician South Charleston, WV NPI 1255537999
- David Ward Ranson, MDSurgery Physician South Charleston, WV NPI 1306944335
- Kristen Price Eads, MDSurgery Physician South Charleston, WV NPI 1942429790
About NPI 1619973096
Michael M. Boustany, MD's National Provider Identifier is 1619973096, issued on Jun 22, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in South Charleston, WV. The record was last updated on Dec 22, 2021.