Active NPIIndividual provider

Mr. Nirmal Bastola, MD

Family Medicine in Keizer, Oregon

NPI Number1730310830
Practice location
5900 Inland Shores Way N, Keizer, OR 97303-3883
Fax
503-589-6240
Last updated
June 7, 2017

Mr. Nirmal Bastola, MD is a Family Medicine based in Keizer, OR. Mr. Nirmal Bastola, MD holds the professional credentials of MD. The NPI number for Mr. Nirmal Bastola, MD is 1730310830 and holds license No. 6135 (NE). The current practice location address is 5900 Inland Shores Way N, Keizer, OR 97303-3883 and the office can be reached by phone at 503-399-2424 and by fax at 503-589-6240. The NPI was assigned on August 6, 2009 and the record was last updated in NPPES on June 7, 2017.

●Provider Profile Details

NPI Number
1730310830
Provider Name
Nirmal Bastola
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Enumeration Date
August 6, 2009
Last Update Date
June 7, 2017
NPI Status
Active

◉Business Practice Location Address

Address
5900 Inland Shores Way N
Keizer, OR 97303-3883
City
Keizer
State
Oregon
ZIP
97303-3883
Country
US
Phone Number
503-399-2424
Fax Number
503-589-6240

Get directions →

✉Business Mailing Address

Address
2020 Capitol St NE
Salem, OR 97301-0644
City
Salem
State
OR
ZIP
97301-0644
Phone Number
503-399-2424
Fax Number
503-375-7429

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Family Medicine207Q00000XNo6135NE
Family Medicine207Q00000XYesMD181082OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Mr. Nirmal Bastola, MD?

The NPI number of Mr. Nirmal Bastola, MD is 1730310830. It was assigned on August 6, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Nirmal Bastola, MD?

Mr. Nirmal Bastola, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X) and holds license No. 6135 (NE).

Where does Mr. Nirmal Bastola, MD practice?

The practice location is 5900 Inland Shores Way N, Keizer, OR 97303-3883. The office can be reached at 503-399-2424 (phone) or 503-589-6240 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730310830 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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