Provider Demographics
NPI:1801860671
Name:ABDULHAYOGLU, EMIL S (MD)
Entity Type:Individual
Prefix:DR
First Name:EMIL
Middle Name:S
Last Name:ABDULHAYOGLU
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 1:9310 PERSIMMON BROOK TRL APT 102
Mailing Address - Street 2:
Mailing Address - City:THONOTOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:33592-3967
Mailing Address - Country:US
Mailing Address - Phone:281-796-4300
Mailing Address - Fax:
Practice Address - Street 1:514 EICHENFELD DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5955
Practice Address - Country:US
Practice Address - Phone:813-571-7088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7806207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC223172Medicaid
FL119945200Medicaid
TX194305201Medicaid
TX194305201Medicaid
TX8K4025Medicare PIN