Search › West Virginia › 208600000X
Michael Boustany, MD
NPI 1619973096 · on the registry since 2005
Practice
- Address
- 434 Division St
South Charleston, WV 25309 - Phone
- (304) 766-7140
- Fax
- (304) 766-7180
- Clinicians at this address
- 2
Additional practice sites
- 4605 Maccorkle Ave Sw, South Charleston, WV
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 2086S0129X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia