Provider Demographics
NPI:1821110214
Name:KAHRAMAN, K TANKUT (RPH)
Entity Type:Individual
Prefix:
First Name:K TANKUT
Middle Name:
Last Name:KAHRAMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 WALDEN AVE
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-5113
Mailing Address - Country:US
Mailing Address - Phone:716-681-3084
Mailing Address - Fax:716-685-4608
Practice Address - Street 1:2055 WALDEN AVE
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-5113
Practice Address - Country:US
Practice Address - Phone:716-681-3084
Practice Address - Fax:716-685-4608
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist