Bilal a Itani MD PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

16425 Issued in WV

Legal business name

BILAL A ITANI MD PLLC

Practice address

233 S Mineral St
Keyser, WV 26726-2643

Phone

(304) 788-0202

Fax

(304) 788-4377

NPI assigned

Jan 5, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bilal A Itani, MDNPI 1619978731

Title

Owner

Phone

(304) 788-0202

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bilal Itani, MD

  • Pediatrics Physician
  • Keyser, WV
  • NPI 1619978731

  Pediatrics

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1104361799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S MINERAL ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262643",
            "telephone_number": "304-788-0202",
            "fax_number": "304-788-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S MINERAL ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262643",
            "telephone_number": "304-788-0202",
            "fax_number": "304-788-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILAL A ITANI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "ITANI",
        "authorized_official_first_name": "BILAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-788-0202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "16425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043316000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris Joan Berube
• Charles D Bess, MD
• Tina Marie Best
• Jaime Lynn Biggs
• Kristen Nicole Biggs
• Kimberly Dawn Bitner
• Shawnie Nikole Bittinger, MPH, MMS, PA-C
• Katherine Black
• Rebecca Blacka
• Shannon Blacka

• All providers in Keyser, WV
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.