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Individual

BIJAN BASTANINEJAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
237324
NY
208000000X
Pediatrics Physician
Primary
2009039681
MO
208000000X
Pediatrics Physician
35.088489
OH
208M00000X
Hospitalist Physician
35.088489
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000488786
ANTHEM
OH
01
000000520832
ANTHEM
OH
05
02695054
NY
01
05227
PARAMOUNT
OH
01
237324
BLUECROSS BLUESHIELD
NY
05
2678446
OH
01
40113
HPM
MI
05
4920459
MI
05
5202199
MI
01
7210867
AETNA
OH
Enumeration date
12/21/2005
Last updated
07/30/2026
Update your record

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