Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | E-7089 | AR |
Y | 207RI0011X | Interventional Cardiology | E-7089 | AR |
NPI | 1073576625 |
---|---|
Provider Name | Yalcin Hacioglu |
First Address | Little Rock, AR 72205-6202 |
Second Address | Little Rock, AR 72205-6202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 19/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0YKF5 | MEDICARE (01) | AR |
144048 | (02) | AR |
210490001 | (05) | AR |