Individual
BIJAN BASTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24800 HIGHPOINT RD, BEACHWOOD, OH 44122-6041
(216) 831-6611
(216) 831-2726
Mailing address
24800 HIGHPOINT RD, BEACHWOOD, OH 44122-6041
(216) 831-6611
(216) 831-2726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-048517
OH
Other
Enumeration date
06/18/2006
Last updated
12/16/2010
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