BASTION MEDICAL PRACTICE OF KANSAS PA NPI 1497519714

NPI Information

NPI: 1497519714
Provider Name: BASTION MEDICAL PRACTICE OF KANSAS PA
Classification: Urology - 208800000X
Entity Type: Organization
Address:
400 FARMINGTON AVE
FARMINGTON, CT
ZIP 06032
Phone: (650) 610-1617
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BASTION MEDICAL PRACTICE OF KANSAS PA is an urology in Farmington, CT. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. BASTION MEDICAL PRACTICE OF KANSAS PA NPI is 1497519714. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 FARMINGTON AVE
FARMINGTON, CT
ZIP 06032-913
Phone: (650) 610-1617

The provider's authorized official is Vasanth Kainkaryam .
The authorized official title is President and has the following contact phone number (786) 220-0003.

The enumeration date for this NPI number is 2/7/2024 and was last updated on 2/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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