Individual provider · Type 1 NPI

Sergiy Mykolayovych Pustogarov

Student in an Organized Health Care Education/Training Program · Greenville, SC

NPI number 1043167448 Active

Practice location

607 Grove Rd
Greenville, SC 29605-4208

Call (864) 455-9807 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043167448

Sergiy Mykolayovych Pustogarov's National Provider Identifier is 1043167448, issued on Mar 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greenville, SC. The record was last updated on Mar 13, 2026.