Provider Demographics
NPI:1023048469
Name:LAL, ASHUTOSH (MD)
Entity type:Individual
Prefix:DR
First Name:ASHUTOSH
Middle Name:
Last Name:LAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:HEMATOLOGY/ONCOLOGY, CHILDREN'S HOSPITAL
Mailing Address - Street 2:747 52ND ST
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1809
Mailing Address - Country:US
Mailing Address - Phone:510-428-3172
Mailing Address - Fax:510-601-3916
Practice Address - Street 1:HEMATOLOGY/ONCOLOGY, CHILDREN'S HOSPITAL
Practice Address - Street 2:747 52ND ST
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1809
Practice Address - Country:US
Practice Address - Phone:510-428-3172
Practice Address - Fax:510-601-3916
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2010-08-16
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Provider Licenses
StateLicense IDTaxonomies
CAA803882080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology