Whalio Doctors

NPI 1033301080

Juan Guillermo Bastidas, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Ashland, KY

Practice location

Address
613 23rd St STE 210, Ashland, KY 41101-2868
Phone
(606) 326-9847
Fax
(606) 324-3418
Mailing address
PO Box 2379, Ashland, KY 41105-2379

Registered specialties (3)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 49423 (KY)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD.201742 (LA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence A115149 (CA)

Registry record

NPI
1033301080
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Aug 2007
Record last updated
21 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.