Search › Indiana › 405300000X
Carlos Bastardo
NPI 1417492281 · on the registry since 2017
Practice
- Address
- 11191 Shadylane Dr
Plymouth, IN 46563 - Phone
- (574) 936-4152
- Fax
- (312) 256-9390
Registry record
- Primary taxonomy
- 405300000X
405300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana