Provider Demographics
NPI:1376751156
Name:KURPITA, RUSLANA V (MD)
Entity Type:Individual
Prefix:
First Name:RUSLANA
Middle Name:V
Last Name:KURPITA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 WATERBURY CT
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-5309
Mailing Address - Country:US
Mailing Address - Phone:614-381-9795
Mailing Address - Fax:614-515-5757
Practice Address - Street 1:453 WATERBURY CT
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-5309
Practice Address - Country:US
Practice Address - Phone:614-381-9795
Practice Address - Fax:614-515-5757
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.092171207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2852908Medicaid
OH4245551Medicare PIN