Doctor Name: | DR. YURI PRIKOUPENKO |
NPI Number: | 1003850900 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C10007365 |
Business Practice Address: | 11125 Rockville Pike Suite 107 Rockville, MD - 208523142 |
Business Phone Number: | 3012310007 |
Business Fax Number: | 3012310078 |
Mailing Address: | 11125 Rockville Pike, Suite 107 ROCKVILLE |
State: | MD |
Postal Code: | 208523142 |
Phone Number: | 3012310007 |
Fax Number: | 3012310078 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 10/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | C10007365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |