MEDICARE: AMIR BASTA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1215622667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIR BASTA MD

Provider Business Mailing Address
First Line	:	1201 LANGHORNE NEWTOWN RD
Second Line	:
City	:	LANGHORNE
State	:	PA
Zip	:	19047-1201
Country	:	US
Telephone Number	:	215-710-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 LANGHORNE NEWTOWN RD
Second Line	:
City	:	LANGHORNE
State	:	PA
Zip	:	19047-1201
Country	:	US
Telephone Number	:	684-521-5710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2023
Last Update Date	:	02/17/2026

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Directions to “ AMIR BASTA MD” Practice Location

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