Provider Demographics
NPI:1497375315
Name:MIRALOGLU, YUSUF (NP, MS)
Entity Type:Individual
Prefix:
First Name:YUSUF
Middle Name:
Last Name:MIRALOGLU
Suffix:
Gender:M
Credentials:NP, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5213 S ALSTON AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-4430
Mailing Address - Country:US
Mailing Address - Phone:919-620-4855
Mailing Address - Fax:
Practice Address - Street 1:10207 CERNY ST STE 102
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-4880
Practice Address - Country:US
Practice Address - Phone:919-613-2243
Practice Address - Fax:919-544-6907
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-21
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY699254207R00000X
NC5013450363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine