Individual
DR. SHYAMAL RAJ BASTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2951 MAPLE AVE, ZANESVILLE, OH 43701-1406
(740) 454-5271
(740) 455-7588
Mailing address
945 BETHESDA DR, SUITE 200, ZANESVILLE, OH 43701-0801
(740) 454-4788
(740) 450-6157
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35.097144
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3153537
—
OH
Enumeration date
05/20/2008
Last updated
05/06/2024
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