Individual
DR. ANDREY RUPASOV
Active
Individual
DR. ANDREY RUPASOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
286233
NY
2085R0202X
Diagnostic Radiology Physician
Primary
OS16979
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107832900
—
FL
01
—
MZ357
MEDICARE PTAN OHRI
FL
01
—
PT879
MEDICARE PTAN OHMG
FL
01
—
UQYIJ
BCBS
FL
Enumeration date
01/23/2014
Last updated
04/05/2023
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