Doctor Name: | MS. PELIN DUZENLI |
NPI Number: | 1558654350 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 860 Omni Blvd Ste 303 Newport News, VA - 236064434 |
Business Phone Number: | 7572328769 |
Business Fax Number: | 7572328875 |
Mailing Address: | 12420 Warwick Blvd, Bldg 7 Suite C NEWPORT NEWS |
State: | VA |
Postal Code: | 236063001 |
Phone Number: | 7575943900 |
Fax Number: | 7575950649 |
NPI Enumeration Date: | 05/26/2011 |
NPI Last Update Date: | 07/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |