1871566406 NPI number — NECATI UYGUR TEKIN M.D.

Table of content: NECATI UYGUR TEKIN M.D. (NPI 1871566406)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871566406 NPI number — NECATI UYGUR TEKIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TEKIN
Provider First Name:
NECATI
Provider Middle Name:
UYGUR
Provider Name Prefix Text:
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:
TEKIN
Provider Other First Name:
N.
Provider Other Middle Name:
UYGUR
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1871566406
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/01/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1004 FOWLER WAY
Provider Second Line Business Mailing Address:
SUITE NO: 4
Provider Business Mailing Address City Name:
PLACERVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95667
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-626-9488
Provider Business Mailing Address Fax Number:
530-626-1104

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1004 FOWLER WAY
Provider Second Line Business Practice Location Address:
SUITE NO: 4
Provider Business Practice Location Address City Name:
PLACERVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95667
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-626-9488
Provider Business Practice Location Address Fax Number:
530-626-1104
Provider Enumeration Date:
02/13/2006

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:  C52029 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207UN0901X , with the licence number: C52029 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: C52029 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: C52029 . This is a "MEDICARE ID-TYPE UNSPECIFIED" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: C52029 . This is a "BLUE SHIELD OF CALIFORNIA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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