Individual
DR. LEEDA BASHARDOST
Active
Individual
DR. LEEDA BASHARDOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MHSS, FRCPC
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
2022034380
MO
2084N0400X
Neurology Physician
4301512829
MI
2084V0102X
Vascular Neurology Physician
Primary
4301512829
MI
Other
Enumeration date
08/30/2022
Last updated
12/26/2024
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