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DR. ABDALLA ZACKARIA BANDAK MD
NPI 1811980113
Surgery - Plastic and Reconstructive Surgery in Charleston, WV

Active since August 23, 2005
4920 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 741-5510 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Abdalla Zackaria Bandak Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ABDALLA ZACKARIA BANDAK MD (NPI 1811980113) is an individual plastic and reconstructive surgery provider in Charleston, West Virginia, licensed in West Virginia (21839) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1811980113
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. ABDALLA ZACKARIA BANDAKCredential: MD
Location Address4920 MACCORKLE AVE SECharleston, WV 25304-2052
Mailing Address4920 Maccorkle Ave SeCharleston, WV 25304-2052 · (304) 741-5510
Phone(304) 741-5510
Sole ProprietorNo
Enumeration DateAugust 23, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811980113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in WV · 21839
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4920 MACCORKLE AVE SE, Charleston, WV 25304
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Other Identifiers 6

Other318939WV · Carelink
Medicare UPING15978
Medicare ID-Type UnspecifiedBA4167221WV
Other2532033WV · Cigna
Medicaid3810002535WV
Other5531469WV · Aetna

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AFIF S HABASH MD
Pediatrics (Adolescent Medicine)
4920 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 442-8117
BANDAK PLASTIC SURGERY PLLC
Surgery (Plastic and Reconstructive Surgery)
4920 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 925-4665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abdalla Bandak's NPI number?

The NPI number for Abdalla Bandak is 1811980113. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Abdalla Bandak located?

Abdalla Bandak practices at 4920 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 741-5510.

What is Abdalla Bandak's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Abdalla Bandak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.