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Ivan Lupov, M.D
NPI 1942657747 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1701 N Senate Blvd
Iusom Department Of Emergency Medicine, Room Ag012
Indianapolis, IN 46202 - Phone
- (317) 962-5975
- Organisation at this address
- Indiana Clinic
Indiana Clinic
University Surgeons, Inc.
Iu Health Medical Group, Llc
Emergency Medical Group, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 762
Additional practice sites
- 601 W 2nd St, Bloomington, IN
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana