Provider Demographics
NPI:1366493181
Name:GUVEN, EMIR BARBAROS SAFAK (MD)
Entity Type:Individual
Prefix:DR
First Name:EMIR
Middle Name:BARBAROS SAFAK
Last Name:GUVEN
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 1:229 N PECOS RD
Mailing Address - Street 2:STE 100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7364
Mailing Address - Country:US
Mailing Address - Phone:414-530-1522
Mailing Address - Fax:
Practice Address - Street 1:1400 E KINCAID ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274-4127
Practice Address - Country:US
Practice Address - Phone:360-814-6315
Practice Address - Fax:360-814-6261
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI33942207RE0101X
NV12601207RE0101X
WAMD61232874207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1366493181Medicaid
WI34198500Medicaid
004000261IOtherHUMANA
004000261IOtherHUMANA
NJ1366493181Medicaid
NV105502Medicare PIN