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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285633164 | NPPES |
| Rhode Island | MEDICAID | 7056893 | |
| Rhode Island | MEDICAID | 2131579 |
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