Doctor Name: | DR. ERGUN KOCAK |
NPI Number: | 1043425028 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35082334 |
Business Practice Address: | 1329 Cherry Way Dr Suite 200 Gahanna, OH - 432306777 |
Business Phone Number: | 8556876227 |
Business Fax Number: | 8556876227 |
Mailing Address: | 1329 Cherry Way Dr, Suite 200 GAHANNA |
State: | OH |
Postal Code: | 432306777 |
Phone Number: | 8556876227 |
Fax Number: | 8556876227 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 05/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 35082334 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |