Lotfi-Fard, Basheer

Lotfi-Fard, Basheer is an individual health care provider with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Lotfi-Fard, Basheer can be contacted via phone (314) 577-5600.

Contact Information

Primary practice address
1465 S Grand Blvd Saint Louis MO 63104-1003
Phone: (314) 577-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 35.088181 Ohio
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD-22092 Hawaii
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD17261 Rhode Island
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2023042846 Missouri

Profile Details

NPI number 1659598860
LBN Legal business name Lotfi-Fard, Basheer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Oct 26th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659598860 NPPES
Ohio MEDICAID 2846675

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