Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL M BOUSTANY, MD
ActiveGeneral Surgery · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1619973096
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2005 (20.858738572275 yrs)
- Last Updated
- Dec 22, 2021
- Licenses
-
10600 (WV)10600 (WV)
Practice Information
- Address
-
434 DIVISION STSOUTH CHARLESTON, WV, 25309Browse WV providers · Browse ZIP 25309
- Phone
- 3047667140
- Fax
- 3047667180
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in SOUTH CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID WARD RANSON | MD | 1306944335 |
| KRISTEN PRICE EADS | M.D. | 1942429790 |
| JOHNNA MICHELLE JACKSON | D.O. | 1255537999 |
| SETH WILLIAMS | MD | 1225583347 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.