Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anastasiya Boutko, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891497210

Anastasiya Boutko, MD is a Student in an Organized Health Care Education/Training Program in Myrtle Beach, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone: (843) 692-4403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891497210
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023
Mailing address809 82nd Pkwy, Myrtle Beach, SC 29572-4607

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