Provider Demographics
NPI:1588722102
Name:SANKARI, BASHIR R (MD)
Entity type:Individual
Prefix:
First Name:BASHIR
Middle Name:R
Last Name:SANKARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MORRIS ST 5W
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1326
Mailing Address - Country:US
Mailing Address - Phone:304-388-7823
Mailing Address - Fax:304-388-7820
Practice Address - Street 1:501 MORRIS STREET, 5 WEST
Practice Address - Street 2:CAMC RENAL TRANSPLANT CENTER
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301
Practice Address - Country:US
Practice Address - Phone:304-388-7823
Practice Address - Fax:304-388-7820
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV16750208800000X
OH35058481208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0130182000Medicaid
WV0130182000Medicaid
0707112Medicare PIN
SA0707113Medicare PIN
P00894916Medicare PIN