Bashkirov, Maxim

Bashkirov, Maxim is an individual health care provider with primary practice located at 690 Canton St , Westwood MA 02090-2321. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Bashkirov, Maxim can be contacted via phone (781) 407-7713.

Contact Information

Primary practice address
690 Canton St Westwood MA 02090-2321
Phone: (781) 407-7713
Fax: (781) 407-0998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207LH0002X 227241 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD11381 Rhode Island

Profile Details

NPI number 1285633164
LBN Legal business name Bashkirov, Maxim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Aug 7th, 2015 - about 10 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 1285633164 NPPES
Rhode Island MEDICAID 7056893
Rhode Island MEDICAID 2131579

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