Individual
NICHOLAS R BASTIAMPILLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
603 N WILMOT RD, SUITE 201, TUCSON, AZ 85711-2701
(520) 790-1556
(520) 620-9719
Mailing address
PO BOX 30370, TUCSON, AZ 85751-0370
(520) 722-0777
(520) 290-9713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3497
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3497
AZ STATE MEDICAL LICENSE
AZ
05
—
482919
—
AZ
01
—
AZ0769110
BCBSAZ
AZ
Enumeration date
06/19/2006
Last updated
03/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us