| Shukhratilla Shamshitdinov, | |
|
4502 Medical Dr, San Antonio, TX 78229-4402 | |
| (210) 358-4000 | |
| Not Available |
| Full Name | Shukhratilla Shamshitdinov |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 4502 Medical Dr, San Antonio, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386320851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0000247482 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Princeton Community Hospital | Princeton, WV | Hospital |
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Piedmont Columbus Regional Northside | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Anesthesia Solutions Of Missouri, Llc | 1456764885 | 57 |
| Hospitalist Medicine Physicians Of Washington - Tcs | 6800240102 | 187 |
| Hospitalist Medicine Physicians Of West Virginia - South Charleston | 7911437603 | 23 |
| Hospitalist Medicine Physicians Of Georgia - Tcs, Pc | 3971024910 | 75 |
| Entity Name | Capital Anesthesia Solutions Of Missouri, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770185472 PECOS PAC ID: 1456764885 Enrollment ID: O20210104001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Shukhratilla Shamshitdinov, 11106 Brussels Boy Ln, Riverview, FL 33578-6152 Ph: () - | Shukhratilla Shamshitdinov, 4502 Medical Dr, San Antonio, TX 78229-4402 Ph: (210) 358-4000 |
Daniel Travis Hart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-0811 | |
Mrs. Claire Leleux Beadle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-4911 | |
Nnenna Awagu, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-567-4500 | |
Mrs. Sherilyn Kaye Medina, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 | |
Brent Duffield, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, San Antonio, TX 78234 Phone: 210-916-9100 | |
Mizraim Gomez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-0572 | |
Stephanie Elise Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11212 Highway 151, San Antonio, TX 78251 Phone: 210-703-8000 |