Basic Information
Provider Information
NPI: 1760477137
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAYAL
FirstName: BIMAL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3622 BELMONT AVE
Address2: SUITE 1
City: YOUNGSTOWN
State: OH
PostalCode: 445051450
CountryCode: US
TelephoneNumber: 3307599350
FaxNumber: 3307599387
Practice Location
Address1: 3622 BELMONT AVE
Address2: SUITE 1
City: YOUNGSTOWN
State: OH
PostalCode: 445051450
CountryCode: US
TelephoneNumber: 3307599350
FaxNumber: 3307599387
Other Information
ProviderEnumerationDate: 09/13/2005
LastUpdateDate: 12/19/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X35047642DOHY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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