Provider Demographics
NPI:1083645592
Name:KOKTURK, TOLGA N (MD)
Entity Type:Individual
Prefix:DR
First Name:TOLGA
Middle Name:N
Last Name:KOKTURK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:333 SCHOOL ST
Mailing Address - Street 2:STE 200
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860
Mailing Address - Country:US
Mailing Address - Phone:401-724-0600
Mailing Address - Fax:401-724-8306
Practice Address - Street 1:333 SCHOOL ST
Practice Address - Street 2:STE 200
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860
Practice Address - Country:US
Practice Address - Phone:401-724-0600
Practice Address - Fax:401-724-8306
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2021-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIMD10403207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7008487Medicaid
H25766Medicare UPIN