National Provider Identifier Database

BIJAN BASTANINEJAD, MD – NPI #1972589968
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

BIJAN BASTANINEJAD, MD
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO63901-3396
Phone: 573-785-7721
Fax: 573-727-2465
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Emergency Medicine 207P00000X
Hospitalist 208M00000X

* Indicates primary specialty

NPI Profile & details for BIJAN BASTANINEJAD

NPI Number 1972589968
Credentials MD
Entity Individual
Enumeration date 12/21/2005
Last updated 11/07/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2009039681
  • NY License #: 237324
  • OH License #: 35.088489
  • MI Medicaid: 4920459
  • MI Medicaid: 5202199
  • NY Medicaid: 02695054
  • OH Medicaid: 2678446
  • MI Other: 40113 HPM
  • NY Other: 237324 BLUECROSS BLUESHIELD
  • OH Other: 7210867 AETNA
  • OH Other: 000000488786 ANTHEM
  • OH Other: 000000520832 ANTHEM
  • OH Other: 05227 PARAMOUNT
Hospital affiliation n/a

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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