SANDZHAR YUSUPOV (NPI# 1154770030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154770030 |
| Entity Type | Individual |
| Full Name | SANDZHAR YUSUPOV |
| Practice Address |
95 Washington St Ste #474 Canton MA 02021-4006 |
| Practice Telephone | 7818213411 |
| Practice Fax Number | 7816340508 |
| Mailing Telephone | 7818213411 |
| Mailing Fax Number | 7816340508 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WV0202X |
Contractor Specialization: Vehicle Modifications |
Other Service Providers |
| Street Address |
95 WASHINGTON ST STE #474 |
| City | CANTON |
| State | MA |
| Zip Code | 02021-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039017 | Richard Hemingway | Physical Therapist | 95 Washington St, Canton, MA 02021-4006 | 2005-11-02 |
| 1316425515 | Shadi Karam Haidar | Dentist | 95 Washington St, Canton, MA 02021-4006 | 2018-07-31 |
| 1346787090 | Partners Urgent Care, LLC | Clinic/Center | 95 Washington St, Canton, MA 02021-4006 | 2017-01-19 |
| 1194188292 | Samuel Wonil Chang | Pharmacist | 95 Washington St, Canton, MA 02021-4006 | 2016-04-05 |
| 1366803413 | Danielle M Smith | Physical Therapist | 95 Washington St, Canton, MA 02021 | 2016-03-17 |
| 1750741120 | Lauren Decouto | Pharmacist | 95 Washington St, Canton, MA 02021-4006 | 2016-02-29 |
| 1497110647 | Pinali Gandhi | Physical Therapist | 95 Washington St, Ste 462, Canton, MA 02021-4006 | 2015-12-15 |
| 1285040170 | Mansi Parikh | Physical Therapist | 95 Washington St, 462, Canton, MA 02021-4006 | 2014-07-11 |
| 1013323716 | Jessica Christine Lariviere | Physical Therapist | 95 Washington St, Ste 462, Canton, MA 02021-4006 | 2014-07-02 |
| 1174968523 | Edward Evans | Physical Therapist | 95 Washington St, Canton, MA 02021-4006 | 2013-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931331 | Faith Alpiche Felitto | Registered Nurse | 9 Bay Drive, Apt 113, Canton, MA 02021 | 2018-02-05 |
| 1184122103 | Mind Compass, LLC | Counselor | 45 Dan Road, C/o Workspace@45, Suite 19, Canton, MA 02021 | 2018-01-24 |
| 1861903353 | Daphnis Colin | Registered Nurse | 211 Bay Drive, Canton, MA 02021 | 2017-10-24 |
| 1245772276 | Rebecca Selenow | Counselor | 10 Emerson Rd, Canton, MA 02021 | 2016-11-08 |
| 1407398449 | Brightview Canton LLC | Alzheimer Center (Dementia Center) | 125 Turnpike Street, Canton, MA 02021 | 2016-11-08 |
| 1699144014 | Marguerite Hobbs | Social Worker | 55 Pecunit St, Canton, MA 02021 | 2015-09-15 |
| 1447662234 | Cornerstone At Canton Assisted Living LLC | Assisted Living Facility | 175 Revere Street, Canton, MA 02021 | 2014-05-28 |
| 1508100157 | Greystone Pain Management Inc | Psychiatry & Neurology | 21 Rockland St, Unit M, Canton, MA 02021 | 2012-11-20 |
| 1457678062 | Smile Designs Inc | Dentist | 95 Washington St # 480, Smile Designs Inc, Canton, MA 02021 | 2010-04-23 |
| 1114178803 | Jennifer Diana Marie Woodbury | Specialist/Technologist | 1 Whitman Road, Clarke School East, Canton, MA 02021 | 2008-10-01 |
| Find all providers in zip 02021 | ||||
| Taxonomy Code | 171WV0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Vehicle Modifications |
| A contractor who makes modifications to private vehicles to accommodate a health condition. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407350598 | Nadine Denis | Contractor | 190 Vanderbilt Ave, Norwood, MA 02062-5025 | 2018-03-22 |
Please comment or provide details below to improve the information on SANDZHAR YUSUPOV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.