Provider Demographics
NPI:1154301547
Name:BANKACI, MURAT (MD)
Entity Type:Individual
Prefix:DR
First Name:MURAT
Middle Name:
Last Name:BANKACI
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 1:609 N CHURCH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-1002
Mailing Address - Country:US
Mailing Address - Phone:724-547-4575
Mailing Address - Fax:724-547-3319
Practice Address - Street 1:609 N CHURCH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1002
Practice Address - Country:US
Practice Address - Phone:724-547-4575
Practice Address - Fax:724-547-3319
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035086L207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABA057926OtherBLUE SHIELD
PA0588535Medicaid
PAC28561Medicare UPIN
PA057926Medicare ID - Type Unspecified