NPI 1326044710

Michael M Boustany MD INC

Organisation Vascular Surgery Physician Charleston, WV

Practice location

Address: 415 Morris St STE 105, Charleston, WV 25301-1840
Phone: (304) 343-7557
Fax: (304) 343-3441
Mailing address: PO Box 3850, Charleston, WV 25338-3850

Authorised official

Name: Michael M Boustany
Title: Owner
Phone: (304) 343-7557

Registered specialties (2)

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 10600 (WV)

Other Surgery providers in West Virginia →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 10600 (WV)

Registry record

NPI: 1326044710
Entity type: Organization
NPI issued: 22 Jun 2005
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.