Individual
GERASIMOS BASTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3601 THE VANDERBILT CLINIC STE 30330, NASHVILLE, TN 37232-3164
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD0000051292
TN
208100000X
Physical Medicine & Rehabilitation Physician
MT197893
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT197893
PA
Other
Enumeration date
05/24/2010
Last updated
03/22/2022
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