Individual
MRS. IRINA KAPUSTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Mailing address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0420013819
VT
2085R0202X
Diagnostic Radiology Physician
Primary
D92422
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054773733
—
DC
05
—
999863200
—
MD
Enumeration date
07/14/2012
Last updated
01/24/2022
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