Organization
J B ASTIK M D P A
Active
Other names
J.B. ASTIK, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYENDRA B ASTIK MD (PRESIDENT)
(660) 747-8154
Entity
Organization
Contact information
Practice address
511 BURKARTH RD, WARRENSBURG, MO 64093-3103
(660) 747-8154
(660) 747-9757
Mailing address
511 BURKARTH RD, WARRENSBURG, MO 64093-3103
(660) 747-8154
(660) 747-9757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AA9372575
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30634017
KANSAS CITY BCBS
MO
05
—
506055805
—
MO
01
—
CJ7821
RR MEDICARE
—
01
—
L400000
MEDICARE GROUP PTAN NUMBER
MO
Enumeration date
03/15/2007
Last updated
06/21/2018
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