Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | E-4216 | AR |
NPI | 1023108529 |
---|---|
Provider Name | Volkan Tuzcu |
First Address | Little Rock, AR 72211-5482 |
Second Address | Little Rock, AR 72211-5482 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 21/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04110013700 | QUALCHOICE (01) | |
155039001 | (05) | AR |
5N039 | BCBS (01) | |
E4216 | TRICARE (01) | |
G16198 | (02) |