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Contact Information

BASSEL BARDAN, MD
1216 RYANS RD
WORTHINGTON, MN56187-1722
 Phone: 507-372-2921
 Fax: 507-372-5789
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BASSEL BARDAN · (Male)

NPI # 1831283456
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 05/26/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 39465
  • IA Medicaid 1909333
  • MN Medicaid 539817700
  • MN Other 54A03BA BCBS MPIN
  • MN Other 370010988 RR MEDICARE
  • MN Other 120955 UCARE
Hospital affiliation(s) Not Available
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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