NPI 1598059461 · live from the CMS NPI Registry
Andrey Yusupov, M.D.
Radiology, Diagnostic Radiology in Fort Wainwright, AK. National Provider Identifier 1598059461, active.
NPI record
| NPI | 1598059461 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 4076 Neely Rd, Fort Wainwright, AK 99703 |
| Practice phone | 907-361-5024 |
| Mailing address | 2008b Southern Ave, Fairbanks, AK 99709 |
| Enumerated | June 7, 2011 |
| Last updated | June 25, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD-17154 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.