Individual provider · NPI-1
Aleksandr Bachayev, Surgical Assistant
Clinic/Center, Ambulatory Surgical · Denver, CO
NPI number1013230945
StatusActive
Last updated in NPPESApr 5, 2014
Details
- NPI
- 1013230945
- Entity type
- Individual (NPI-1)
- Name
- Aleksandr Bachayev
- Credential
- Surgical Assistant
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2010
- Last updated
- Apr 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 09-316 | CO | Yes |
| 282N00000X | General Acute Care Hospital | 09-316 | CO |
Other names
- Sasha Bachayev (Other Name)
Practice location
6565 E Exposition AveDenver, CO 80224-1504
Phone 303-901-0870
Mailing address
6565 E Exposition AveDenver, CO 80224-1504
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