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Bijan Bastaninejad, MD
Pediatrics Physician in Poplar Bluff, Missouri
NPI 1972589968

Bijan Bastaninejad is a Pediatrics Physician based in Poplar Bluff, MO. Bijan Bastaninejad practices in Poplar Bluff, MO and has the professional credentials of MD. The NPI Number for Bijan Bastaninejad is 1972589968 and holds a License No. 237324 (Missouri).

The current practice location address for Bijan Bastaninejad is 2620 N Westwood Blvd, Poplar Bluff, MO and can be reached out via phone at 573-785-7721 and via fax at 573-727-2465. You can also correspond with Bijan Bastaninejad through the mailing address at PO BOX 1308, POPLAR BLUFF, MO - 63902-1308 (mailing address contact number: 573-843-8380).

Location: 2620 N Westwood Blvd, Poplar Bluff, MO, 63902-1308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972589968
Provider Name
Bijan Bastaninejad
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2620 N Westwood Blvd, Poplar Bluff, MO, 63902-1308
Phone Number
573-785-7721
Fax Number
573-727-2465
Provider Enumeration Date
12/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40113 01 MI HPM
02695054 05 NY
000000488786 01 OH ANTHEM
4920459 05 MI
5202199 05 MI
7210867 01 OH AETNA
05227 01 OH PARAMOUNT
2678446 05 OH
237324 01 NY BLUECROSS BLUESHIELD
000000520832 01 OH ANTHEM
institution
Provider Business Practice Location Address Details
Address
2620 N Westwood Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-3396
Phone Number
573-785-7721
Fax Number
573-727-2465
person
Provider Business Mailing Address Details
Address
Po Box 1308
City
Poplar Bluff
State
Missouri
Zip
63902-1308
Phone Number
573-843-8380
Fax Number
573-843-8381
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
35.088489 (Ohio)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
35.088489 (Ohio)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Hospitalist
Speciality
-
Taxonomy
208M00000X
License No.
237324 (New York)
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
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