Provider Demographics
NPI:1205656857
Name:BAKHSHIYEVA, NARMINA
Entity type:Individual
Prefix:
First Name:NARMINA
Middle Name:
Last Name:BAKHSHIYEVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 NE 191ST TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3972
Mailing Address - Country:US
Mailing Address - Phone:212-470-9805
Mailing Address - Fax:
Practice Address - Street 1:631 NE 191ST TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-3972
Practice Address - Country:US
Practice Address - Phone:212-470-9805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL47360390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program