Dr SHYAMAL R BASTOLA is a male medical professional, specializing in Hematology/oncology. He graduated in 2005 from State University Of New York Downstate Medical Center.
GENESIS MEDICAL GROUP, LLC
2951 MAPLE AVE
ZANESVILLE
OH
437011406
Tel: 7404544000
| Npi | 1306003033 |
| Pac Id | 7911182696 |
| Professional Enrollment Id | I20110720000560 |
| Last Name | BASTOLA |
| First Name | SHYAMAL |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2005 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | GENESIS MEDICAL GROUP, LLC |
| Group Practice Pac Id | 7719040385 |
| Number Of Group Practice Members | 207 |
| Line 1 Street Address | 2951 MAPLE AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ZANESVILLE |
| State | OH |
| Zip Code | 437011406 |
| Phone Number | 7404544000 |
| Hospital Affiliation Ccn 1 | 360039 |
| Hospital Affiliation Lbn 1 | GENESIS HOSPITAL |
| Hospital Affiliation Ccn 2 | 360109 |
| Hospital Affiliation Lbn 2 | COSHOCTON REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 360203 |
| Hospital Affiliation Lbn 3 | SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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