Provider Demographics
NPI:1134295272
Name:MORKOC, FIKIR (MD)
Entity Type:Individual
Prefix:DR
First Name:FIKIR
Middle Name:
Last Name:MORKOC
Suffix:
Gender:M
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:PO BOX 163090
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-9090
Mailing Address - Country:US
Mailing Address - Phone:530-320-6227
Mailing Address - Fax:
Practice Address - Street 1:6060 SUNRISE VISTA DR STE 3050
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-7070
Practice Address - Country:US
Practice Address - Phone:800-553-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00G29583207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G798461Medicaid
CA00G798460Medicare ID - Type Unspecified
CAG29583Medicare UPIN