location
search-icon
person
Michael David Bastasch, MD
Specialist in Fremont, California
NPI 1912962028

Michael David Bastasch is a Specialist based in Athens, CA. Michael David Bastasch practices in Fremont, CA and has the professional credentials of MD. The NPI Number for Michael David Bastasch is 1912962028 and holds a License No. A85084 (California).

The current practice location address for Michael David Bastasch is 39101 Civic Center Dr, Fremont, CA and can be reached out via phone at 510-796-7212 and via fax at 510-745-6469.

Location: 39101 Civic Center Dr, Fremont, CA, 75751-5605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912962028
Provider Name
Michael David Bastasch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
39101 Civic Center Dr, Fremont, CA, 75751-5605
Phone Number
510-796-7212
Fax Number
510-745-6469
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
16796101 05 TX
institution
Provider Business Practice Location Address Details
Address
39101 Civic Center Dr
City
Fremont
State
California
Zip
94538-5817
Phone Number
510-796-7212
Fax Number
510-745-6469
person
Provider Business Mailing Address Details
Address
39101 Civic Center Dr
City
Fremont
State
California
Zip
94538-5817
Phone Number
510-796-7212
Fax Number
510-745-6469
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A85084 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.