Provider Demographics
NPI:1073914024
Name:LITTLE OAKS PEDIATRICS, PLLC
Entity Type:Organization
Organization Name:LITTLE OAKS PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CEYHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OZTURK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-400-1416
Mailing Address - Street 1:7636 SILVER VIEW LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1439
Mailing Address - Country:US
Mailing Address - Phone:984-232-0136
Mailing Address - Fax:
Practice Address - Street 1:13200 STRICKLAND RD STE 120
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-5212
Practice Address - Country:US
Practice Address - Phone:203-400-1416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2013-01505208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty