Individual
SAMION SHABASHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6300 SW 73RD ST, MIAMI, FL 33143
(786) 596-3621
Mailing address
6300 SW 73RD ST, SOUTH MIAMI, FL 33143
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01090934A
IN
207L00000X
Anesthesiology Physician
Primary
135972
FL
207L00000X
Anesthesiology Physician
282592
NY
207L00000X
Anesthesiology Physician
78166
MN
207L00000X
Anesthesiology Physician
Primary
ME135972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922341437
—
MN
05
—
300081046
—
IN
01
—
M22404303
MEDICARE PTAN
IN
Enumeration date
04/03/2013
Last updated
04/22/2026
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