Provider Demographics
NPI:1508974569
Name:AKFIRAT, GOKHAN LUT (MD)
Entity Type:Individual
Prefix:
First Name:GOKHAN
Middle Name:LUT
Last Name:AKFIRAT
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 1:1650 SELWYN AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-7626
Mailing Address - Country:US
Mailing Address - Phone:718-960-2010
Mailing Address - Fax:718-579-7360
Practice Address - Street 1:1650 SELWYN AVE FL 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7626
Practice Address - Country:US
Practice Address - Phone:718-960-2010
Practice Address - Fax:718-579-7360
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2463632084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02196156Medicaid
NY400N01Medicare ID - Type Unspecified
NY02196156Medicaid