Individual
YEVGENIYA S KUSHCHAYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME139689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103195500
—
FL
01
—
4D92P
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/11/2013
Last updated
03/30/2021
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