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DR. ANDREY YUSUPOV M.D.
NPI 1598059461
Radiology - Diagnostic Radiology in Fort Wainwright, AK

Active since June 07, 2011
4076 NEELY RD, FORT WAINWRIGHT, AK 99703(907) 361-5024 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2018, Apr 11, 2017 (2 updates tracked since 2017).

About Dr. Andrey Yusupov M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREY YUSUPOV M.D. (NPI 1598059461) is an individual diagnostic radiology provider in Fort Wainwright, Alaska, licensed in Hawaii (MD-17154) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1598059461
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. ANDREY YUSUPOVCredential: M.D.
Location Address4076 NEELY RDFort Wainwright, AK 99703
Mailing Address2008b Southern AveFairbanks, AK 99709-4237
Phone(907) 361-5024
Sole ProprietorNo
Enumeration DateJune 7, 2011
Last NPPES UpdateJune 25, 20182 updates tracked since enumeration
✔ NPI 1598059461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in HI · MD-17154
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4076 NEELY RD, Fort Wainwright, AK 99703
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI RADMER CNM
Advanced Practice Midwife
4076 NEELY RD
FT WAINWRIGHT, AK 99703
Fairbanks North Star Borough (651) 233-3932
GINA TORRES DDS
Dentist
4076 NEELY RD
FT WAINWRIGHT, AK 99703
Fairbanks North Star Borough (907) 750-2955
MRS. KELLY JEAN PEREZ REGISTERED DIETITIAN
Dietitian, Registered
4076 NEELY RD
FT. WAINWRIGHT, AK 99703
Fairbanks North Star Borough (254) 495-5506
ROBERT FISHER
Licensed Practical Nurse
4076 NEELY RD, BASSETT ARMY COMMUNITY HOSPITAL INTERNAL MED CLINIC
FORT WAINWRIGHT, AK 99703
Fairbanks North Star Borough (907) 361-4179
ALEXANDER DANIEL BLAKE PA-C
Physician Assistant
4076 NEELY RD, RM 3C-404
FT. WAINWRIGHT, AK 99703
Fairbanks North Star Borough (907) 361-6028
STEPHANIE WINTER PA-C
Physician Assistant
4076 NEELY RD
FORT WAINWRIGHT, AK 99703
Fairbanks North Star Borough (907) 361-4000
NATHAN PAUL BASTIEN MD
General Practice
4076 NEELY RD
FT WAINWRIGHT, AK 99703
Fairbanks North Star Borough (907) 361-5172
MRS. LINDA YU MEYERS M.D.
Emergency Medicine
4076 NEELY RD
FORT WAINWRIGHT, AK 99703
Fairbanks North Star Borough (907) 361-5479

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrey Yusupov's NPI number?

The NPI number for Andrey Yusupov is 1598059461. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Andrey Yusupov located?

Andrey Yusupov practices at 4076 Neely Rd, Fort Wainwright, AK 99703. The listed phone number is (907) 361-5024.

What is Andrey Yusupov's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Andrey Yusupov was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.