OrganizationActive
Bastion Medical Practice of Kansas PA
NPI 1497519714 · Urology Physician · Farmington, CT
Provider details
- NPI number
- 1497519714
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vasanth Kainkaryam, President(786) 220-0003
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
400 Farmington Ave
Farmington, CT 06032-1913
Phone: (650) 610-1617
Approximate (ZIP-level) locationGet directions
Mailing address
400 Farmington Ave
Farmington, CT 06032-1913
Registry dates
- Enumerated
- 2024-02-07
- Last updated
- 2024-02-07
- Certified
- 2024-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.