ANDREY YUSUPOV M.D. – NPI #1598059461
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

ANDREY YUSUPOV is a radiologist located in FORT WAINWRIGHT, AK. NPPES has assigned the NPI number 1598059461 to ANDREY YUSUPOV on June 07, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 8 years ago on Jun 25, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANDREY YUSUPOV below.

NPI Profile for
ANDREY YUSUPOV

NPI Number
1598059461
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ANDREY YUSUPOV
Credentials
M.D.
Primary location
4076 NEELY RD
FORT WAINWRIGHT, AK 99703
Phone: (907) 361-5024 Fax:
Mailing address
2008B SOUTHERN AVE
FAIRBANKS, AK 99709-4237
Phone: Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
HI MD-17154

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.