Individual
DR. BAHAR BASTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AMBULATORY CARE CENTER, 1225 S. GRAND BLVD, ST LOUIS, MO 63104-1016
(314) 577-8765
(314) 771-0784
Mailing address
SLUCARE ACADEMIC PAVILION, 1008 S. SPRING, ST LOUIS, MO 63110
(314) 973-4994
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R7H14
MO
Other
Enumeration date
08/10/2006
Last updated
02/04/2021
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