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

BIJAN BASTANINEJAD, M.D.

Active

BIJAN BASTANINEJAD, M.D. is a Pediatrics healthcare provider located in POPLAR BLUFF, Missouri. NPI 1972589968 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · POPLAR BLUFF, MO

Registration Details

NPI Number
1972589968
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2005 (20.657427639365 yrs)
Last Updated
Nov 7, 2023
Licenses
237324 (NY)
35.088489 (OH)
35.088489 (OH)
2009039681 (MO)

Practice Information

Address
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO, 639013396
Browse MO providers · Browse ZIP 63901
Phone
5737857721
Fax
5737272465
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
Hospitalist
Additional Specialty
Pediatrics

Other Pediatrics Providers in POPLAR BLUFF, MO

Name Credential NPI
DR. SHAUN A ROSS MD 1740268333
ROGER KINGSLEY BOST MD 1881672418
DR. RANGSAN SUVAN MD 1467424416
DR. MARTHA J MARGREITER MD 1134152895
DR. DERRY DEAN DYE JR. MD 1215949599
MR. JOSEPH P FERNANDO M.D. 1669559605
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.