Provider Demographics
NPI:1912060385
Name:BASNYAT, PUSHPANJALI (MD)
Entity Type:Individual
Prefix:DR
First Name:PUSHPANJALI
Middle Name:
Last Name:BASNYAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PUSHPANJALI
Other - Middle Name:
Other - Last Name:HAMAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:34515 9TH AVE S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6761
Mailing Address - Country:US
Mailing Address - Phone:253-426-6341
Mailing Address - Fax:206-965-4279
Practice Address - Street 1:34515 9TH AVE S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6761
Practice Address - Country:US
Practice Address - Phone:253-426-6341
Practice Address - Fax:206-965-4279
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00047403207R00000X, 208M00000X
CAA94100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1057738Medicaid