Provider Demographics
NPI:1306004114
Name:AKTUNC, ERDEM (MD)
Entity Type:Individual
Prefix:DR
First Name:ERDEM
Middle Name:
Last Name:AKTUNC
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 1:2529 PATRICIA AVE
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OR
Mailing Address - Zip Code:97914-5306
Mailing Address - Country:US
Mailing Address - Phone:201-456-8560
Mailing Address - Fax:
Practice Address - Street 1:2529 PATRICIA AVE
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OR
Practice Address - Zip Code:97914-5306
Practice Address - Country:US
Practice Address - Phone:201-456-8560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP7376208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty