Provider Demographics
NPI:1073006680
Name:SAYLAM, EZGI (MD)
Entity Type:Individual
Prefix:
First Name:EZGI
Middle Name:
Last Name:SAYLAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15515 CAPITOL HILL BLVD APT 616
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-7212
Mailing Address - Country:US
Mailing Address - Phone:586-339-7428
Mailing Address - Fax:
Practice Address - Street 1:15515 CAPITOL HILL BLVD APT 616
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-7212
Practice Address - Country:US
Practice Address - Phone:586-339-7428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR208000000208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics