Bastaninejad, Bijan
Bastaninejad, Bijan is an individual health care provider with primary practice located at 2620 N Westwood Blvd , Poplar Bluff MO 63901-3396. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Bastaninejad, Bijan can be contacted via phone (573) 785-7721.Contact Information
Primary practice address
2620 N Westwood Blvd
Poplar Bluff MO 63901-3396
Phone: (573) 785-7721
Fax: (573) 727-2465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 237324 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.088489 | Ohio |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 35.088489 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2009039681 | Missouri |
Profile Details
| NPI number | 1972589968 |
|---|---|
| LBN Legal business name | Bastaninejad, Bijan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Nov 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972589968 | NPPES |
| Michigan | Other | 40113 | HPM |
| Michigan | MEDICAID | 02695054 | HPM |
| Michigan | Other | 000000488786 | HPM |
| Michigan | MEDICAID | 4920459 | HPM |
| Michigan | MEDICAID | 5202199 | HPM |
| Michigan | Other | 7210867 | HPM |
| Michigan | Other | 05227 | HPM |
| Michigan | MEDICAID | 2678446 | HPM |
| Michigan | Other | 237324 | HPM |
| Michigan | Other | 000000520832 | HPM |
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