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NPI Code Detail

MEDICARE: BASHAR F KAYALI M.D.

MEDICARE:   BASHAR F KAYALI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician35058062OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427052299
Entity Type Code : Individual
Provider Name (Legal Business Name) : BASHAR F KAYALI M.D.
Provider Business Mailing Address
First Line : PO BOX 228
Second Line :
City : LOGAN
State : OH
Zip : 43138-0228
Country : US
Telephone Number : 740-385-3069
Fax Number : 740-385-0865
Provider Business Practice Location Address
First Line : 31480 CHIEFTAIN DR
Second Line : SUITE D
City : LOGAN
State : OH
Zip : 43138-9000
Country : US
Telephone Number : 740-385-3069
Fax Number : 740-385-0865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 04/10/2014

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Directions to “ BASHAR F KAYALI M.D.” Practice Location

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