Michael M Boustany, MD
Michael M Boustany, MD is a General Surgery in South Charleston, West Virginia. Qualified in 1970, 56 years ago. Practices with Ths Physician Partners Inc, a 359-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.
- Years since qualifying
- 56
- Licensed in
- WV
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
434 Division StSouth Charleston, WV 25309
Phone: (304) 766-7140
Fax: (304) 766-7180
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 — (304) 414-4800
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 10600 (WV) |
|---|---|
| Vascular Surgery Physician | Taxonomy 2086S0129X · Licence 10600 (WV) |
Record details
| NPI number | 1619973096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 22, 2005 |
| Last updated in NPPES | December 22, 2021 |
| Certification date | December 22, 2021 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 1970 (56 years in practice) |
| Group practice | Ths Physician Partners Inc — 359 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |