Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bandak Plastic Surgery PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1457564213

Bandak Plastic Surgery PLLC is a Plastic and Reconstructive Surgery Physician in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4920 Maccorkle Ave SE
Charleston, WV 25304-2052
Phone: (304) 925-4665
Fax: (304) 925-4666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 21839 (WV)

Record details

NPI number1457564213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abdalla Bandak — Owner · (304) 925-4665
NPI enumeratedMay 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4920 Maccorkle Ave Se, Charleston, WV 25304-2052

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