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NPI Code Detail

MEDICARE: DR. MAXIM BASHKIROV MD

MEDICARE: DR. MAXIM BASHKIROV MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LH0002XHospice and Palliative Medicine (Anesthesiology) Physician227241MA
2207L00000XAnesthesiology PhysicianMD11381RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285633164
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAXIM BASHKIROV MD
Provider Business Mailing Address
First Line : 690 CANTON ST
Second Line : SUITE 325
City : WESTWOOD
State : MA
Zip : 02090-2321
Country : US
Telephone Number : 781-407-7713
Fax Number : 781-407-0998
Provider Business Practice Location Address
First Line : 690 CANTON ST
Second Line :
City : WESTWOOD
State : MA
Zip : 02090-2321
Country : US
Telephone Number : 781-407-7713
Fax Number : 781-407-0998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 08/07/2015

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Directions to “ DR. MAXIM BASHKIROV MD” Practice Location

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