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

SUBASH BASTAKOTI, M.D.

Active

SUBASH BASTAKOTI, M.D. is a Critical Care Medicine healthcare provider located in GREEN BAY, Wisconsin. NPI 1770967036 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · GREEN BAY, WI

Registration Details

NPI Number
1770967036
Provider Type
Individual
Gender
Male
NPI Issued
Jul 16, 2015 (11.055643501137 yrs)
Last Updated
Nov 22, 2021
Licenses
4301108025 (MI)
72088 (WI)

Practice Information

Address
2845 GREENBRIER RD
GREEN BAY, WI, 543116519
Browse WI providers · Browse ZIP 54311
Phone
9202888000
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Critical Care Medicine

Other Critical Care Medicine Providers in GREEN BAY, WI

Name Credential NPI
DR. MARK RIEDY MD 1780681445
DR. JOHN JOSEPH KOSZUTA M.D. 1952377855
SYED JIRGIS SHAH MD 1184659971
DR. WILLIAM JOSEPH WADZINSKI MD 1790027829
FATIMA TAHERA DIABAN DO 1336586098
KHUSHBOO M GANDHI M.D. 1568845519
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.