1669593596 NPI number — DR. MEHMET ALI AGIRBASLI M.D.

Table of content: DR. MEHMET ALI AGIRBASLI M.D. (NPI 1669593596)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669593596 NPI number — DR. MEHMET ALI AGIRBASLI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AGIRBASLI
Provider First Name:
MEHMET
Provider Middle Name:
ALI
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:
1669593596
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/09/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
EGITIM MAH. FAHRETTIN KERIM GOKAY CADDESI KAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ISTANBUL
Provider Business Mailing Address State Name:
KADIKOY
Provider Business Mailing Address Postal Code:
34726
Provider Business Mailing Address Country Code:
TR
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
DEPARTMENT OF CARDIOLOGY MEDENIYET UNIVERSITY HOSPITAL
Provider Second Line Business Practice Location Address:
DR ERKIN CADDESI GOZTEPE KADIKOY
Provider Business Practice Location Address City Name:
ISTANBUL
Provider Business Practice Location Address State Name:
TURKEY
Provider Business Practice Location Address Postal Code:
34662
Provider Business Practice Location Address Country Code:
TR
Provider Business Practice Location Address Telephone Number:
216-606-5200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/02/2007

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: 207RC0000X , with the licence number:  35813 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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