Dr. Tara Kopp Bastek
M.D. | Pediatric Neonatal-Perinatal Medicine | Female
Dr. Tara Kopp Bastek, M.D. is a Raleigh, North Carolina based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine. Dr. Tara Kopp Bastek is also known as
Tara Kopp.
Current practice location of Dr. Tara Kopp Bastek is
3000 New Bern Ave, Neonatology Dept., Raleigh, North Carolina - 27610-1231. She can be contacted on phone at
919-350-8545 and fax number 919-350-8146.
Dr. Tara Kopp Bastek is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Tara Kopp Bastek is
1316956774 which was assigned by NPPES on 05 Aug, 2006 and it was last updated on 12 Mar, 2010.
Dr. Tara Kopp Bastek license number is
9900162 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in North Carolina.
Dr. Tara Kopp Bastek is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Tara Kopp Bastek basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Tara Kopp Bastek |
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| Other Name : | Tara Kopp |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Tara Kopp Bastek 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 : | 3000 New Bern Ave, Neonatology Dept.
Raleigh, NC, 27610-1231
United States |
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| Phone Number : | 919-350-8545 |
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| Fax Number : | 919-350-8146 |
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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 : | 1316956774 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Aug, 2006 |
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| Last Updated On : | 12 Mar, 2010 |
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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 Dr. Tara Kopp Bastek are as mentioned. Primary taxonomy code for Dr. Tara Kopp Bastek, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 9900162 | NC |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 9900162 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Tara Kopp Bastek such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 891203C | MEDICAID | NC | |
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 : | 3024 New Bern Ave, Suite 300
Raleigh, NC, 27610-1247
United States |
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| Phone Number : | 919-350-8228 |
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| Fax Number : | 919-350-7976 |
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Business Location:
Patients can refer following map for directions to
Dr. Tara Kopp Bastek practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.