Provider Demographics
NPI:1154308401
Name:KARPYAK, VICTOR M (MD, PHD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:M
Last Name:KARPYAK
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:VIKTOR
Other - Middle Name:M
Other - Last Name:KARPYAK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:200 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905-0001
Mailing Address - Country:US
Mailing Address - Phone:507-284-2511
Mailing Address - Fax:
Practice Address - Street 1:200 1ST ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55905-0001
Practice Address - Country:US
Practice Address - Phone:507-284-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN429422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI35206900Medicaid
MN260044942OtherRAILROAD MEDICARE
IAENROLLEDMedicaid
MN958150200Medicaid
WI35206900Medicaid
MN260044942OtherRAILROAD MEDICARE