Lotfi-Fard, Basheer
Lotfi-Fard, Basheer is an individual health care provider with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Lotfi-Fard, Basheer can be contacted via phone (314) 577-5600.Contact Information
Primary practice address
1465 S Grand Blvd
Saint Louis MO 63104-1003
Phone: (314) 577-5600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 35.088181 | Ohio |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD-22092 | Hawaii |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD17261 | Rhode Island |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 2023042846 | Missouri |
Profile Details
NPI number | 1659598860 |
---|---|
LBN Legal business name | Lotfi-Fard, Basheer |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2007 |
Last updated | Oct 26th, 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 | 1659598860 | NPPES |
Ohio | MEDICAID | 2846675 |
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