Yusupov, Roman
Yusupov, Roman is an individual health care provider with primary practice located at 1131 N 35Th Ave Fl 2 , Hollywood FL 33021-5403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as his primary health care specialty. Yusupov, Roman can be contacted via phone (954) 265-6319.Contact Information
Primary practice address
1131 N 35Th Ave Fl 2
Hollywood FL 33021-5403
Phone: (954) 265-6319
Fax: (954) 276-0166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | ME 107047 | Florida |
Profile Details
| NPI number | 1972703676 |
|---|---|
| LBN Legal business name | Yusupov, Roman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Mar 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972703676 | NPPES |
| Florida | MEDICAID | 017236900 |
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