Michael M Boustany, MD

NPI #1619973096 in South Charleston, West Virginia

Provider Information

NPI Number: 1619973096
Entity Type: Individual
Name: Michael M Boustany, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jun 22, 2005
Last Updated: Dec 22, 2021

Practice Location

Address: 434 DIVISION ST
City: South Charleston
State: West Virginia
ZIP Code: 25309
Phone: (304) 766-7140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Surgery	208600000X	Primary

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Organizations

Provider Name	Specialty	City
Delphi Healthcare Partners, Inc. D/b/a South Charleston Surgicalists	Surgery	South Charleston	AI Deep Dive
Comprehensive Surgical Associates Pllc	Surgery	South Charleston	AI Deep Dive

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