Dr Andrey Yusupov, MD is a
Radiology - Diagnostic Radiology physician based in Fort Wainwright, Alaska. Dr Andrey Yusupov is licensed to practice in Hawaii (license number MD-17154) and his current practice location is 4076 Neely Rd, Fort Wainwright, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 361-5024.
NPI number for Dr Andrey Yusupov is 1598059461 and his current mailing address is 2008b Southern Ave, Fairbanks, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598059461.
Physician's Profile
| Full Name | Dr Andrey Yusupov |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 4076 Neely Rd, Fort Wainwright, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598059461
- Provider Enumeration Date: 06/07/2011
- Last Update Date: 06/25/2018
Medical Identifiers
Medical identifiers for Dr Andrey Yusupov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598059461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD-17154 (Hawaii) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Andrey Yusupov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Andrey Yusupov, MD
2008b Southern Ave,
Fairbanks, AK 99709-4237
Ph: () - | Dr Andrey Yusupov, MD
4076 Neely Rd,
Fort Wainwright, AK 99703
Ph: (907) 361-5024 |
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