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1326059957
BAHAR BASTANI
ST LOUIS, MO
NPI
1326059957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: MO R7H14)
Enumeration Date
2006-08-10
Last Update Date
2021-02-04
Business Address
Dr. BAHAR BASTANI MD
AMBULATORY CARE CENTER 1225 S. GRAND BLVD
ST LOUIS, MO 63104-1016
Phone number: 314-577-8765
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Mailing Address
Dr. BAHAR BASTANI MD
SLUCARE ACADEMIC PAVILION 1008 S. SPRING
ST LOUIS, MO 63110
Phone number: 314-973-4994
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