Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****16

ACTIVE

N

MD

SHIRMELA

BASTO

RAMBALLY

SHIRMELA BASTO RAMBALLY MD

10/15/2022

04/13/2023

07/31/2026

CHICAGO

IL

60612

COOK

PRACTITIONER

II III IV V

N

06/28/2023