Provider Demographics
NPI:1871816843
Name:GORGUN, IHYA EMRE (MD)
Entity Type:Individual
Prefix:DR
First Name:IHYA
Middle Name:EMRE
Last Name:GORGUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:A30
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-1244
Mailing Address - Fax:216-445-8627
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:A30
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-1244
Practice Address - Fax:216-445-8627
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254464208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery