NPI 1972703676

Roman Yusupov, MD

Practitioner Clinical Genetics (M.D.) Physician Hollywood, FL

Practice location

Address: 1131 N 35th Ave Fl 2, Hollywood, FL 33021-5403
Phone: (954) 265-6319
Fax: (954) 276-0166
Mailing address: 2900 Corporate Way Door D, Miramar, FL 33025-3925

Registered specialties

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence ME 107047 (FL)

Other Medical Genetics providers in Florida →

Registry record

NPI: 1972703676
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2007
Record last updated: 16 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.