Saad Mossallati
Cardiothoracic Vascular Surgeon
527 Medical Park Drive Suite 204
Bridgeport
, West Virginia 26330
Saad Mossallati
Cardiothoracic Vascular Surgeon
527 Medical Park Drive Suite 204
Bridgeport
, West Virginia 26330
(304) 933-3815
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Saad Mossallati
- 527 Medical Park Drive Suite 204
- Bridgeport, WV
- Zip : 26330
- Fax : (304) 933-3815
- Phone : (304) 933-3800
Second Address
- Saad Mossallati
- 527 Medical Park Drive Suite 204
- Bridgeport, WV
- Zip : 26330
- Fax : (304) 933-3815
- Phone : (304) 933-3800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | WV13308 | WV |
National Provider Identifier
| NPI | 1003900283 |
|---|---|
| Provider Name | Saad Mossallati |
| First Address | Bridgeport, WV 26330 |
| Second Address | Bridgeport, WV 26330 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 09/06/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000421910 | BCBS (01) | WV |
| 0128388000 | (05) | WV |
| 110025127 | RR MEDICARE (01) | WV |
| D49094 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.