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

DR. TARA KOPP BASTEK, M.D.

Active

DR. TARA KOPP BASTEK, M.D. is a Neonatal-Perinatal Medicine healthcare provider located in RALEIGH, North Carolina. NPI 1316956774 is currently active in the NPPES registry. Verify at CMS.

Neonatal-Perinatal Medicine · RALEIGH, NC

Registration Details

NPI Number
1316956774
Provider Type
Individual
Gender
Female
NPI Issued
Aug 5, 2006 (20.041349758962 yrs)
Last Updated
Mar 12, 2010
Licenses
9900162 (NC)
9900162 (NC)

Practice Information

Address
3000 NEW BERN AVE
NEONATOLOGY DEPT.
RALEIGH, NC, 276101231
Browse NC providers · Browse ZIP 27610
Phone
9193508545
Fax
9193508146
Primary Specialty
Neonatal-Perinatal Medicine
2080N0001X
Additional Specialty
Neonatal-Perinatal Medicine

Other Neonatal-Perinatal Medicine Providers in RALEIGH, NC

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.