Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35082334 | OH |
Y | 208600000X | Surgeon | 35082334 | OH |
N | 2086S0122X | Plastic and Reconstructive Surgery | 35082334 | OH |
NPI | 1043425028 |
---|---|
Provider Name | Dr. Ergun Kocak |
First Address | Gahanna, OH 43230-6777 |
Second Address | Gahanna, OH 43230-6799 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 30/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2954183 | (05) | OH |