IndividualActive
Andrey Yusupov, M.D.
NPI 1598059461 · Diagnostic Radiology Physician · Fort Wainwright, AK
Provider details
- NPI number
- 1598059461
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD-17154 (HI)
Mailing address
2008b Southern Ave
Fairbanks, AK 99709-4237
Registry dates
- Enumerated
- 2011-06-07
- Last updated
- 2018-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.