Individual
ARTIN BASTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1719 W BIG BEAVER RD, TROY, MI 48084-3510
(248) 458-0400
(248) 458-0310
Mailing address
1719 W BIG BEAVER RD, TROY, MI 48084-3510
(248) 458-0400
(248) 458-0310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301097241
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
4301097241
MI
Other
Enumeration date
05/13/2010
Last updated
07/30/2015
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