Osipov, Robert Mushelovich

Osipov, Robert Mushelovich is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Ste 210 , Goodyear AZ 85395-2628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Osipov, Robert Mushelovich can be contacted via phone (800) 991-6117.

Contact Information

Primary practice address
13555 W Mcdowell Rd Ste 210 Goodyear AZ 85395-2628
Phone: (800) 991-6117
Fax: (888) 812-8191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036131321 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 36357 Arizona

Profile Details

NPI number 1659493922
LBN Legal business name Osipov, Robert Mushelovich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2007
Last updated Jan 18th, 2021 - about 3 years 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 1659493922 NPPES
Arizona MEDICAID 612518

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