OrganizationActive
Michael M Boustany MD Inc
NPI 1326044710 · Vascular Surgery Physician · Charleston, WV
Provider details
- NPI number
- 1326044710
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Boustany, Owner(304) 343-7557
- License
- 10600 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
415 Morris St
Ste 105
Charleston, WV 25301-1840
Phone: (304) 343-7557
Fax: (304) 343-3441
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3850
Charleston, WV 25338-3850
Registry dates
- Enumerated
- 2005-06-22
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.