Provider Demographics
NPI:1417995879
Name:LEVENDOGLU, HULYA (MD,)
Entity Type:Individual
Prefix:
First Name:HULYA
Middle Name:
Last Name:LEVENDOGLU
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 EASTERN PARKWAY
Mailing Address - Street 2:EMPIRE CENTER GASTRO UNIT
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225
Mailing Address - Country:US
Mailing Address - Phone:718-604-6831
Mailing Address - Fax:718-604-6822
Practice Address - Street 1:546 EASTERN PKWY
Practice Address - Street 2:GASTRO UNIT
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-1604
Practice Address - Country:US
Practice Address - Phone:718-604-6831
Practice Address - Fax:718-604-6822
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142842207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00541686Medicaid
NY00541686Medicaid
NYD13669Medicare UPIN