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CHARLES F BOU-ABBOUD MD PLLC NPI 1801137104


NPI Information

NPI: 1801137104
Provider Name: CHARLES F BOU-ABBOUD MD PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
58 BROOKSHIRE LN
BECKLEY, WV
ZIP 25801
Phone: (304) 252-4900
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CHARLES F BOU-ABBOUD MD PLLC is a specialist in Beckley, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHARLES F BOU-ABBOUD MD PLLC NPI is 1801137104. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

58 BROOKSHIRE LN
BECKLEY, WV
ZIP 25801-765
Phone: (304) 252-4900
Fax: (304) 252-8470

The provider's authorized official is Charles F Bou-abboud .
The authorized official title is Physician and has the following contact phone number (304) 252-4900.

The enumeration date for this NPI number is 3/12/2013 and was last updated on 3/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist16314WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16001170000MEDICAIDWEST VIRGINIA
2C95820MEDICARE UPINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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