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

Maite Bastyr, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104600881

Maite Bastyr, MD is a Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023
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

1040 Wishard Blvd
Indianapolis, IN 46202-2872
Phone: (317) 963-4634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IN)

Record details

NPI number1104600881
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 22, 2023

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