Kushchayev, Sergiy

Kushchayev, Sergiy is an individual health care provider with primary practice located at 17329 Ladera Estates Blvd , Lutz FL 33548-4817. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kushchayev, Sergiy can be contacted via phone (813) 745-7365.

Contact Information

Primary practice address
17329 Ladera Estates Blvd Lutz FL 33548-4817
Phone: (813) 745-7365
Fax: (813) 449-8618
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME140132 Florida

Profile Details

NPI number 1669810271
LBN Legal business name Kushchayev, Sergiy
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2013
Last updated Jan 8th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669810271 NPPES
Pennsylvania MEDICAID 1669810271

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