Provider Demographics
NPI:1558405498
Name:OZTURK, CEYHUN (MD)
Entity Type:Individual
Prefix:
First Name:CEYHUN
Middle Name:
Last Name:OZTURK
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 1:13200 STRICKLAND RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-5212
Mailing Address - Country:US
Mailing Address - Phone:919-720-4876
Mailing Address - Fax:855-861-0602
Practice Address - Street 1:13200 STRICKLAND RD
Practice Address - Street 2:SUITE 120
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-5212
Practice Address - Country:US
Practice Address - Phone:919-720-4876
Practice Address - Fax:855-861-0602
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT046134208000000X
NC2013-01505208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT046134OtherSTATE LICENSE
NC2013-01505OtherNC MEDICAL LICENSE
CT046134OtherSTATE LICENSE