Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2021034072 | MO |
N | 111NI0900X | Internist | 2021034072 | MO |
Y | 207RR0500X | Rheumatology | 2021034072 | MO |
NPI | 1083064257 |
---|---|
Provider Name | Dr. Can Muzaffer Sungur |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Saint Louis, MO 63110-1032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2016 |
Last Update Date | 25/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200061941 | (05) | MO |