DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL BASTIN MD LLC

Active Organization

Family Medicine · SOUTH CHARLESTON, WV

Registration Details

NPI Number
1053539387
Provider Type
Organization
NPI Issued
Apr 23, 2007 (19.01512697312 yrs)
Last Updated
Nov 12, 2013
License
20368 (WV)

Practice Information

Address
4820 KENTUCKY ST
SOUTH CHARLESTON, WV, 253091310
Browse WV providers · Browse ZIP 25309
Phone
3047200390
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.