Robert Shupak, MD is a
Anesthesiology physician based in Springerville, Arizona. Robert Shupak is licensed to practice in Arizona (license number 18763) and his current practice location is 118 S Mountain Ave, Springerville, Arizona. He can be reached at his office (for appointments etc.) via phone at
(602) 273-6770.
NPI number for Robert Shupak is 1619974110 and his current mailing address is Po Box 29211, Phoenix, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619974110.
Physician's Profile
Full Name | Robert Shupak |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 118 S Mountain Ave, Springerville, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619974110
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Robert Shupak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619974110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 18763 (Arizona) | 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. Robert Shupak 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 |
Robert Shupak, MD Po Box 29211, Phoenix, AZ 85038-9211 Ph: (602) 273-6770 | Robert Shupak, MD 118 S Mountain Ave, Springerville, AZ 85938-5104 Ph: (602) 273-6770 |
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