Provider Demographics
NPI:1225657182
Name:TANRITANIR, AHMET (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMET
Middle Name:
Last Name:TANRITANIR
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 1:5209 STEARNS HILL RD
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-7153
Mailing Address - Country:US
Mailing Address - Phone:857-600-9240
Mailing Address - Fax:
Practice Address - Street 1:5209 STEARNS HILL RD
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-7153
Practice Address - Country:US
Practice Address - Phone:857-600-9240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-10
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program