Provider Demographics
NPI:1033377551
Name:BALKAN, FARUK (MD)
Entity Type:Individual
Prefix:DR
First Name:FARUK
Middle Name:
Last Name:BALKAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FARUK
Other - Middle Name:
Other - Last Name:HATIPAGLU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:750 E. ADAMS STR
Mailing Address - Street 2:SUNY UPSTALE ORTHOPEDICS 4400
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210
Mailing Address - Country:US
Mailing Address - Phone:315-464-5540
Mailing Address - Fax:
Practice Address - Street 1:750 E. ADAMS STR
Practice Address - Street 2:SUNY UPSTALE ORTHOPEDICS 4400
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210
Practice Address - Country:US
Practice Address - Phone:315-464-5540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program