Provider Demographics
NPI:1306843891
Name:OZKAN, ADIL NURI (MD)
Entity Type:Individual
Prefix:
First Name:ADIL
Middle Name:NURI
Last Name:OZKAN
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:PO BOX 29211
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038-9211
Mailing Address - Country:US
Mailing Address - Phone:602-273-6770
Mailing Address - Fax:602-889-0483
Practice Address - Street 1:13539 W DESERT FLOWER DR
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2235
Practice Address - Country:US
Practice Address - Phone:623-535-8155
Practice Address - Fax:623-535-8499
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23560207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ79572Medicare PIN
AZZ68008Medicare PIN
AZZ114108Medicare PIN
AZP00429309Medicare PIN
AZZ145677Medicare PIN
AZG68964Medicare UPIN