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NPI Code Detail

MEDICARE: DAVID KUPSHIK

MEDICARE:   DAVID  KUPSHIK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
22085R0202XDiagnostic Radiology Physician111775GA

General Provider Information

NPI Number : 1114555018
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID KUPSHIK
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-848-8448
Fax Number :
Provider Business Practice Location Address
First Line : 743 SPRING ST NE
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3715
Country : US
Telephone Number : 770-219-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2020
Last Update Date : 06/09/2026

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Directions to “ DAVID KUPSHIK ” Practice Location

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