Bijan Bastaninejad
M.D. | Pediatrics | Male
Bijan Bastaninejad, M.D. is a Poplar Bluff, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Bijan Bastaninejad is
2620 N Westwood Blvd, Poplar Bluff, Missouri - 63901-3396. He can be contacted on phone at
573-785-7721 and fax number 573-727-2465.
Bijan Bastaninejad is a sole proprietor of his business.
NPI number (Unique professional ID) for Bijan Bastaninejad is
1972589968 which was assigned by NPPES on 21 Dec, 2005 and it was last updated on 22 Sep, 2020.
Bijan Bastaninejad license number is
2009039681 for Pediatrics (208000000X) in Missouri.
Bijan Bastaninejad is a pediatrician who 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.
Complete Profile:
Bijan Bastaninejad basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Bijan Bastaninejad |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Bijan Bastaninejad address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2620 N Westwood Blvd
Poplar Bluff, MO, 63901-3396
United States |
|---|
| Phone Number : | 573-785-7721 |
|---|
| Fax Number : | 573-727-2465 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1972589968 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 21 Dec, 2005 |
|---|
| Last Updated On : | 22 Sep, 2020 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bijan Bastaninejad are as mentioned. Primary taxonomy code for Bijan Bastaninejad, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | 237324 | NY |
| 208000000X | Pediatrics | Yes | 2009039681 | MO |
| 208000000X | Pediatrics | No | 35.088489 | OH |
| 208M00000X | Hospitalist | No | 35.088489 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Bijan Bastaninejad such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7210867 | Other | OH | AETNA |
| 5202199 | MEDICAID | MI | |
| 237324 | Other | NY | BLUECROSS BLUESHIELD |
| 05227 | Other | OH | PARAMOUNT |
| 40113 | Other | MI | HPM |
| 4920459 | MEDICAID | MI | |
| 000000488786 | Other | OH | ANTHEM |
| 02695054 | MEDICAID | NY | |
| 2678446 | MEDICAID | OH | |
| 000000520832 | Other | OH | ANTHEM |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
3100 OAK GROVE RD,
POPLAR BLUFF, MO, 63901-1573
United States | POPLAR BLUFF, MO | 573-776-2000 |
610 N ONE MILE RD,
DEXTER, MO, 63841-2539
United States | DEXTER, MO | 573-624-3600 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | bijan.bastaninejad.1@8825.direct.athenahealth.com
Direct Address | No affiliation |
|
| 3100 OAK GROVE RD,
POPLAR BLUFF, MO, 63901-1573
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2620 N Westwood Blvd
Poplar Bluff, MO, 63901-3396
United States |
|---|
| Phone Number : | 573-785-7721 |
|---|
| Fax Number : | 573-727-2465 |
|---|
Business Location:
Patients can refer following map for directions to
Bijan Bastaninejad practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.