Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 25305 | IA |
Y | 207RI0011X | Interventional Cardiology | 25305 | IA |
NPI | 1093790362 |
---|---|
Provider Name | Ahmet E. Atay |
First Address | Cedar Rapids, IA 52403-2404 |
Second Address | Cedar Rapids, IA 52403-2404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 21/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093790362 | (05) | IA |
P00817971 | RR MEDICARE (01) | IA |