Abdulmalek Sabbagh MD
Organization Active NPI Specialist · Weston, WV
NPI 1225099658 · NPPES record last updated Mar 18, 2011
Key facts
- NPI
- 1225099658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- WV17371 (WV)
- Legal business name
- ABDULMALEK SABBAGH MD
- Practice address
- 29 Hospital PLZ
Weston, WV 26452-8470 - Phone
- (304) 269-1448
- Fax
- (304) 269-5235
- NPI assigned
- Mar 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Abdulmalek Sabbagh, MD
- Title
- Owner
- Phone
- (304) 269-1448
Practitioners 5
-
Julie Ann Haddix, APN, CFNP-BC
-
Ebrahim Sabbagh, DO
-
Youssef Nmi Abdulnabi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050414000202 | WV | Part B Supplier - Clinic/Group Practice | 8921045626 |
Receives reassigned benefits from 4 practitioners Practice locations: Weston, WV |
National Provider Directory
Locations
1 Freedoms Way
Clarksburg, WV 26301
Phone (304) 626-1600
29 Hospital Plz
Weston, WV 26452
Phone (304) 269-1448
29 Hospital Plz
Ste E
Weston, WV 26452
Phone (304) 269-1445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | WV17371 | WV | Yes |
Addresses
Primary practice location
29 Hospital PLZ
Weston, WV 26452-8470
Mailing address
29 Hospital PLZ
Weston, WV 26452-8470
Phone (304) 269-1448
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0075907000 | Medicaid | WV |
Other providers in Weston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.