Provider Demographics
NPI:1093398844
Name:SAKKAL, MOUHAMMED AIMAN (MD)
Entity type:Individual
Prefix:DR
First Name:MOUHAMMED
Middle Name:AIMAN
Last Name:SAKKAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3 WINDING WOODS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25311-9739
Mailing Address - Country:US
Mailing Address - Phone:304-932-7629
Mailing Address - Fax:
Practice Address - Street 1:3200 MACCORKLE AVENUE SOUTHEAST
Practice Address - Street 2:ROBERT C. BIRD CLINICAL TRAINING CENTER
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304
Practice Address - Country:US
Practice Address - Phone:304-388-5590
Practice Address - Fax:304-388-8238
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV34353208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist