Individual
BASHAR F KAYALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31480 CHIEFTAIN DR, SUITE D, LOGAN, OH 43138-9000
(740) 385-3069
(740) 385-0865
Mailing address
PO BOX 228, LOGAN, OH 43138-0228
(740) 385-3069
(740) 385-0865
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35058062
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0728225
—
OH
Enumeration date
06/09/2005
Last updated
04/10/2014
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