Healthcare Provider Details

I. General information

NPI: 1427018837
Provider Name (Legal Business Name): ABDULMALEK SABBAGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ABDULAMALEK SABBAGH MD

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 03/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 HOSPITAL PLZ
WESTON WV
26452-8471
US

IV. Provider business mailing address

29 HOSPITAL PLZ
WESTON WV
26452-8470
US

V. Phone/Fax

Practice location:
  • Phone: 304-269-1448
  • Fax: 304-269-5235
Mailing address:
  • Phone: 304-269-1448
  • Fax: 304-269-5235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberWV17371
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: