Provider Demographics
NPI:1215185582
Name:GEZEN, BURAK EMIN (MD)
Entity Type:Individual
Prefix:
First Name:BURAK
Middle Name:EMIN
Last Name:GEZEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1102 COMMERCE ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24504-1199
Mailing Address - Country:US
Mailing Address - Phone:434-944-0304
Mailing Address - Fax:434-315-8191
Practice Address - Street 1:1102 COMMERCE ST
Practice Address - Street 2:SUITE H
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24504-2450
Practice Address - Country:US
Practice Address - Phone:434-944-0304
Practice Address - Fax:434-214-4377
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101254450207RG0300X, 207R00000X
IL036128975207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine