Provider Demographics
NPI:1568488708
Name:HEKIMOGLU, CETIN (MD)
Entity Type:Individual
Prefix:
First Name:CETIN
Middle Name:
Last Name:HEKIMOGLU
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 1:455 N CHANCERY ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-2049
Mailing Address - Country:US
Mailing Address - Phone:708-331-2200
Mailing Address - Fax:708-331-8015
Practice Address - Street 1:455 N CHANCERY ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2049
Practice Address - Country:US
Practice Address - Phone:708-331-2200
Practice Address - Fax:708-331-8015
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN41556207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG06269Medicare UPIN