IVAN LUPOV

INDIANAPOLIS, IN
NPI1942657747
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  11018664A)
Enumeration Date2016-05-21
Last Update Date2019-02-15
Business Address
Dr. IVAN LUPOV M.D.
1701 N SENATE BLVD IUSOM DEPARTMENT OF EMERGENCY MEDICINE, ROOM AG012
INDIANAPOLIS, IN 46202-1239
Phone number: 317-962-5975
Mailing Address
Dr. IVAN LUPOV M.D.
5034 N CAPITOL AVE
INDIANAPOLIS, IN 46208-3405
Phone number: 812-322-1487
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