Provider Demographics
NPI:1649242850
Name:OZCELEBI, FATIH (MD)
Entity Type:Individual
Prefix:
First Name:FATIH
Middle Name:
Last Name:OZCELEBI
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 1:1900 S JACKSON RD STE 11
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1589
Mailing Address - Country:US
Mailing Address - Phone:956-661-1333
Mailing Address - Fax:956-661-1334
Practice Address - Street 1:1900 S JACKSON RD STE 11
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503
Practice Address - Country:US
Practice Address - Phone:956-661-1333
Practice Address - Fax:956-661-1334
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK0151207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097069103Medicaid
TX097069104Medicaid
TXP00056761OtherRAILROAD MEDICARE
TX0068LSOtherBLUE CROSS BLUE SHIELD
TXP00442515OtherRR MEDICARE
TX8AQ050OtherBCBS
TN8F4575OtherMEDICARE