Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 57-015870 | OH |
N | 111NI0900X | Internist | 57-015870 | OH |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD.32957 | AL |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | ME129210 | FL |
NPI | 1023247111 |
---|---|
Provider Name | Ahmet Bahadir Ergin |
First Address | West Palm Beach, FL 33411-2106 |
Second Address | Port St Lucie, FL 34952-7539 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 04/01/2022 |