OrganizationActive
Bandak Plastic Surgery PLLC
NPI 1457564213 · Plastic and Reconstructive Surgery Physician · Charleston, WV
Provider details
- NPI number
- 1457564213
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Abdalla Bandak, Owner
- License
- 21839 (WV)
Practice location
4920 Maccorkle Ave Se
Charleston, WV 25304-2052
Phone: (304) 925-4665
Fax: (304) 925-4666
Mailing address
4920 Maccorkle Ave Se
Charleston, WV 25304-2052
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.