Individual provider · NPI-1

Gerasimos Bastas, MD, PhD

Physical Medicine & Rehabilitation · Nashville, TN

NPI number1598084089
StatusActive
Last updated in NPPESMar 22, 2022

Details

NPI
1598084089
Entity type
Individual (NPI-1)
Name
Gerasimos Bastas
Credential
MD, PhD
Sex
Male
Sole proprietor
No
Enumeration date
May 24, 2010
Certification date
Mar 22, 2022
Last updated
Mar 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationMD0000051292TNYes
208100000X Physical Medicine & RehabilitationMT197893PA
390200000X Student in an Organized Health Care Education/Training ProgramMT197893PA

Practice location

3601 The Vanderbilt Clinic Ste 30330
Nashville, TN 37232-3164

Phone 615-936-2000

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice locations

2201 Childrens Way
Suite 1316b
Nashville, TN 37212-3164

Phone 615-322-7578

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