MEDICARE: DR. CHARLES F BOU-ABBOUD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	16314	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255324844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES F BOU-ABBOUD MD

Provider Business Mailing Address
First Line	:	58 BROOKSHIRE LANE
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-6765
Country	:	US
Telephone Number	:	304-252-4900
Fax Number	:	304-252-8470

Provider Business Practice Location Address
First Line	:	58 BROOKSHIRE LANE
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-6765
Country	:	US
Telephone Number	:	304-252-4900
Fax Number	:	304-252-8470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	03/12/2013

Similar Medicare Providers

1174006357 — JENNIFER L WHALEY CNP
Practice Location Address:

94 BROOKSHIRE LN
BECKLEY, WV
25801-6765

Practice Phone: 304-252-2673
Practice Fax:

1154327823 — W VA ORTHOTIC & PROSTHETIC CENTER, INC.
Practice Location Address:

64 BROOKSHIRE LN
BECKLEY, WV
25801-6765

Practice Phone: 304-256-8351
Practice Fax: 304-256-8387

1982604997 — MOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY, INC
Practice Location Address:

78 BROOKSHIRE LN
BECKLEY, WV
25801-6765

Practice Phone: 304-255-2341
Practice Fax: 304-255-2343

1730189747 — DR. NELSON E. VELAZQUEZ DO
Practice Location Address:

94 BROOKSHIRE LANE
BECKLEY, WV
25801-6765

Practice Phone: 304-252-2673
Practice Fax: 304-929-2350

1720089279 — BECKLEY DERMATOLOGY INC.
Practice Location Address:

94 BROOKSHIRE LANE
BECKLEY, WV
25801-6765

Practice Phone: 304-252-2673
Practice Fax: 304-929-2350

1760473425 — BECKLEY SURGERY CENTER, INC
Practice Location Address:

84 BROOKSHIRE LN
BECKLEY, WV
25801-6765

Practice Phone: 304-255-2724
Practice Fax: 304-255-3691

Directions to “ DR. CHARLES F BOU-ABBOUD MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.