Provider Demographics
NPI:1114433778
Name:COKSAYGAN MEDICAL LLC
Entity Type:Organization
Organization Name:COKSAYGAN MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OZDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COKSAYGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-398-7782
Mailing Address - Street 1:223 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-5230
Mailing Address - Country:US
Mailing Address - Phone:410-398-7782
Mailing Address - Fax:
Practice Address - Street 1:223 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5230
Practice Address - Country:US
Practice Address - Phone:410-398-7782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty