Individual
MANISH BASTAKOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-8278
(202) 877-6292
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-8278
(202) 877-6292
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD049344
DC
Other
Enumeration date
04/01/2018
Last updated
09/22/2021
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