Individual
MRIGENDRA MANI BASTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7601 QUINTANA CT, BETHESDA, MD 20817-2042
(251) 753-1454
Mailing address
7601 QUINTANA CT, BETHESDA, MD 20817-2042
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5784
MD
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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