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Roman Yusupov, MD
Clinical Genetics (M.D.) Physician in Hollywood, Florida
NPI 1972703676

Roman Yusupov is a Clinical Genetics (M.D.) Physician based in Miramar, FL and is specialized in Clinical Genetics (M.D.). Roman Yusupov practices in Hollywood, FL and has the professional credentials of MD. The NPI Number for Roman Yusupov is 1972703676 and holds a License No. ME 107047 (Florida).

The current practice location address for Roman Yusupov is 1131 N 35Th Ave Fl 2, Hollywood, FL and can be reached out via phone at 954-265-6319 and via fax at 954-276-0166.

Location: 1131 N 35Th Ave Fl 2, Hollywood, FL, 33025-3925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972703676
Provider Name
Roman Yusupov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1131 N 35Th Ave Fl 2, Hollywood, FL, 33025-3925
Phone Number
954-265-6319
Fax Number
954-276-0166
Provider Enumeration Date
07/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
017236900 05 FL
institution
Provider Business Practice Location Address Details
Address
1131 N 35Th Ave Fl 2
City
Hollywood
State
Florida
Zip
33021-5403
Phone Number
954-265-6319
Fax Number
954-276-0166
person
Provider Business Mailing Address Details
Address
1131 N 35Th Ave Fl 2
City
Hollywood
State
Florida
Zip
33021-5403
Phone Number
954-265-6319
Fax Number
954-276-0166
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Genetics (M.D.)
Taxonomy
207SG0201X
License No.
ME 107047 (Florida)
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
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