Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blandine B Bustamante, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1093799546

Blandine B Bustamante, MD is an Anatomic Pathology & Clinical Pathology Physician in Ft Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2200 Randallia Dr
Ft Wayne, IN 46805-4638
Phone: (260) 424-2195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 01042290A (IN)

Record details

NPI number1093799546
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2005
Last updated in NPPESApril 29, 2010

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