Provider Demographics
NPI:1891883492
Name:TUNCA, FALVY HAKAN (MD)
Entity Type:Individual
Prefix:
First Name:FALVY
Middle Name:HAKAN
Last Name:TUNCA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HAKAN
Other - Middle Name:
Other - Last Name:TUNCA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-0800
Mailing Address - Country:US
Mailing Address - Phone:219-864-2268
Mailing Address - Fax:219-864-2649
Practice Address - Street 1:5454 HOHMAN AVENUE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-1931
Practice Address - Country:US
Practice Address - Phone:219-933-2270
Practice Address - Fax:219-852-2515
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36114574207L00000X
IN01063823A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200875110Medicaid
IN200875110Medicaid
IN214320TMedicare PIN