Individual provider · Type 1 NPI

Tara Kopp Bastek, MD

Neonatal-Perinatal Medicine Physician · Raleigh, NC

NPI number 1316956774 Active

Practice location

3000 New Bern Ave, Neonatology Dept.
Raleigh, NC 27610-1231

Call (919) 350-8545 Map

Fax (919) 350-8146

Mailing address

3024 New Bern Ave, Suite 300
Raleigh, NC 27610-1247

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X9900162 (NC)
Neonatal-Perinatal Medicine Physician Primary 2080N0001X9900162 (NC)

Neonatal-Perinatal Medicine Physician: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

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About NPI 1316956774

Tara Kopp Bastek, MD's National Provider Identifier is 1316956774, issued on Aug 5, 2006. The primary taxonomy on file is Neonatal-Perinatal Medicine Physician (2080N0001X), and the practice location is in Raleigh, NC. The record was last updated on Mar 12, 2010.