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Contact Information

BAHAR BASTANI, MD
AMBULATORY CARE CENTER
1225 S. GRAND BLVD
SAINT LOUIS, MO63104-1016
 Phone: 314-577-8765
 Fax: 314-771-0784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BAHAR BASTANI · (Male)

NPI # 1326059957
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 02/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R7H14
Hospital affiliation(s)
  • ST FRANCIS MEDICAL CENTER - (Acute Care)
    211 ST FRANCIS DR
    CAPE GIRARDEAU, MO 63703
  • ST LOUIS UNIVERSITY HOSPITAL - (Acute Care)
    3635 VISTA AVE
    SAINT LOUIS, MO 63110
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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