Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 5363 | SD |
NPI | 1093781874 |
---|---|
Provider Name | Ebru Sulanc |
First Address | Sioux Falls, SD 57118-6370 |
Second Address | Sioux Falls, SD 57105-1042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 26/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0582288 | (05) | IA |
2111413 | ARAZ/ AMERICA'S PPO (01) | SD |
243215 | MIDLANDS CHOICE (01) | SD |
273K1SU | BLUE CROSS (01) | MN |
273K1SU | CC SYSTEMS/ BLUE PLUS (01) | MN |
309991041585 | PREFERRED ONE (01) | SD |
3300162 | MEDICA (01) | SD |
36784 | SANFORD HEALTH PLAN (01) | SD |
370624200 | DEPT OF LABOR (01) | SD |
410012300 | (05) | MN |
46022474351 | (05) | NE |
4995306 | BLUE CROSS (01) | SD |
5363 | DAKOTACARE (01) | SD |
57105Y005 | WPS TRICARE (01) | SD |
6004890 | (05) | SD |
HP43041 | HEALTHPARTNERS (01) | SD |
I10522 | (02) | SD |
P00261143 | RR MEDICARE (01) | SD |