Provider Demographics
NPI:1255320974
Name:KAYA, HAKAN (MD)
Entity Type:Individual
Prefix:
First Name:HAKAN
Middle Name:
Last Name:KAYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HAKAN
Other - Middle Name:
Other - Last Name:KUYU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3868
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99220-3868
Mailing Address - Country:US
Mailing Address - Phone:509-228-1000
Mailing Address - Fax:509-252-9300
Practice Address - Street 1:601 S SHERMAN ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1311
Practice Address - Country:US
Practice Address - Phone:509-228-1000
Practice Address - Fax:509-252-9300
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00040186207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
73605852OtherAETNA
1080KAOtherASURIS NORTHWEST HEALTH
KV585OtherBLUE CROSS OF IDAHO
0183550OtherDEPT OF LABOR & INDUSTRIE
WA8384588Medicaid
000010146605OtherBLUE SHIELD OF IDAHO
ID806144800Medicaid
WAP00129781OtherRAILROAD MEDICARE
G37261Medicare UPIN
WA8384588Medicaid