Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 5154 | NE |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 0101255153 | VA |
N | 2080P0207X | Pediatric Hematology-Oncologist | ME114429 | FL |
NPI | 1013137371 |
---|---|
Provider Name | Dr. Burak Gumuscu |
First Address | Richmond, VA 23226-1934 |
Second Address | Richmond, VA 23226-1934 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2007 |
Last Update Date | 15/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007278700 | (05) | FL |
C06778 | GROUP PTAN (01) | VA |