Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ruslan Mamedov, PA

Individual provider Physician Assistant · NPI 1174894521

Ruslan Mamedov, PA is a Physician Assistant in Brooklyn, New York. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

8001 Bay Pkwy Apt 1D
Brooklyn, NY 11214-1957
Phone: (718) 240-8075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1174894521
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 17, 2012
Last updated in NPPESJanuary 17, 2012

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