Provider Demographics
NPI:1164547899
Name:RAMAZANOGLU, MEHMET FATIH (MD)
Entity Type:Individual
Prefix:DR
First Name:MEHMET
Middle Name:FATIH
Last Name:RAMAZANOGLU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MEHMET
Other - Middle Name:FATIH
Other - Last Name:RAMAZANOGLU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:11050 MOUNT BELVEDERE BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT DRUM
Mailing Address - State:NY
Mailing Address - Zip Code:13602-5438
Mailing Address - Country:US
Mailing Address - Phone:315-772-1648
Mailing Address - Fax:315-965-3703
Practice Address - Street 1:1001 WEST ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NY
Practice Address - Zip Code:13619-9703
Practice Address - Country:US
Practice Address - Phone:315-493-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170898208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
B82952OtherUPIN