1013769520 NPI number — MR. HAKAN BAHADIR HABERAL M.D.

Table of content: MR. HAKAN BAHADIR HABERAL M.D. (NPI 1013769520)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013769520 NPI number — MR. HAKAN BAHADIR HABERAL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HABERAL
Provider First Name:
HAKAN
Provider Middle Name:
BAHADIR
Provider Name Prefix Text:
MR.
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:
1013769520
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
MEKSIKA CADDESI 2449. SOKAK BUKETEVLER SITESI
Provider Second Line Business Mailing Address:
15/D/16 UMITKOY
Provider Business Mailing Address City Name:
ANKARA
Provider Business Mailing Address State Name:
ANKARA
Provider Business Mailing Address Postal Code:
06290
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:
SANATORYUM CADDESI PINARBASI MAHALLESI ARDAHAN
Provider Second Line Business Practice Location Address:
SOKAK NO: 25 KECIOREN
Provider Business Practice Location Address City Name:
ANKARA
Provider Business Practice Location Address State Name:
ANKARA
Provider Business Practice Location Address Postal Code:
06290
Provider Business Practice Location Address Country Code:
TR
Provider Business Practice Location Address Telephone Number:
903-123-5690
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/05/2024

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: 390200000X , with the licence number:  125.083134 , 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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