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

Michael M Boustany MD Inc

Organization Surgery Physician · NPI 1326044710

Michael M Boustany MD Inc is a Surgery Physician in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2005.

Licensed in
WV
In the registry since
2005
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 Morris St Ste 105
Charleston, WV 25301-1840
Phone: (304) 343-7557
Fax: (304) 343-3441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 10600 (WV)
Surgery Physician Taxonomy 208600000X · Licence 10600 (WV)

Record details

NPI number1326044710
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Boustany — Owner · (304) 343-7557
NPI enumeratedJune 22, 2005
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 3850, Charleston, WV 25338-3850

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