Individual
DR. RODRIGO BASTIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7210 OAK RIDGE HWY, KNOXVILLE, TN 37931-2613
(865) 647-5500
(865) 647-5579
Mailing address
7210 OAK RIDGE HWY, KNOXVILLE, TN 37931-2613
(865) 647-5500
(865) 647-5579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-066566
IL
207Q00000X
Family Medicine Physician
Primary
MD62777
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036083874
STATE LICENSE
IL
05
—
036083874 2
—
IL
Enumeration date
07/18/2006
Last updated
09/21/2021
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