MEDICARE: VOLHA BASHKATOV CRNA

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
1	163W00000X	Registered Nurse	RN9381853	FL
2	367500000X	Certified Registered Nurse Anesthetist	APRN11026498	FL
3	367500000X	Certified Registered Nurse Anesthetist	0024195723	VA
4	367500000X	Certified Registered Nurse Anesthetist	11026498	FL
5	367500000X	Certified Registered Nurse Anesthetist	1126986	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1750961348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VOLHA BASHKATOV CRNA

Provider Business Mailing Address
First Line	:	800 WEST AVE APT 235
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-5535
Country	:	US
Telephone Number	:	917-862-4251
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 WEST AVE APT 235
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-5535
Country	:	US
Telephone Number	:	917-862-4251
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2021
Last Update Date	:	01/14/2026

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Directions to “ VOLHA BASHKATOV CRNA” Practice Location

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