1154602480 NPI number — DR. HALUK ALIBAZOGLU M.D.

Table of content: DR. HALUK ALIBAZOGLU M.D. (NPI 1154602480)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154602480 NPI number — DR. HALUK ALIBAZOGLU M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALIBAZOGLU
Provider First Name:
HALUK
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154602480
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/31/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
GUZELKENT SOKAK, CANKAYA EVLERI
Provider Second Line Business Mailing Address:
C-BLOK, NO 35
Provider Business Mailing Address City Name:
CANKAYA
Provider Business Mailing Address State Name:
ANKARA
Provider Business Mailing Address Postal Code:
06550
Provider Business Mailing Address Country Code:
TR
Provider Business Mailing Address Telephone Number:
905324788099
Provider Business Mailing Address Fax Number:
903124419259

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5536 RENAISSANCE AVE
Provider Second Line Business Practice Location Address:
UNIT NO 3
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92122-5673
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-225-0529
Provider Business Practice Location Address Fax Number:
858-225-0529
Provider Enumeration Date:
08/31/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207U00000X , with the licence number:  036108226 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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