Provider Demographics
NPI:1750961348
Name:BASHKATOV, VOLHA (CRNA)
Entity type:Individual
Prefix:
First Name:VOLHA
Middle Name:
Last Name:BASHKATOV
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WEST AVE APT 235
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-5535
Mailing Address - Country:US
Mailing Address - Phone:917-862-4251
Mailing Address - Fax:
Practice Address - Street 1:800 WEST AVE APT 235
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-5535
Practice Address - Country:US
Practice Address - Phone:917-862-4251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-09
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1126986367500000X
FL11026498367500000X
FLAPRN11026498367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL118704700Medicaid