Provider Demographics
NPI:1922154921
Name:TUREK, AHMET ONUR (MD)
Entity Type:Individual
Prefix:
First Name:AHMET
Middle Name:ONUR
Last Name:TUREK
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 1:100 INDEPENDENCE CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-0258
Mailing Address - Country:US
Mailing Address - Phone:858-568-0066
Mailing Address - Fax:
Practice Address - Street 1:100 INDEPENDENCE CIR STE 100
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-0258
Practice Address - Country:US
Practice Address - Phone:858-568-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262000207R00000X
AZ36399207R00000X
MO2012024217207R00000X
CAC137395207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ197627Medicaid
AZ1922154921OtherBC/BS OF AZ
AZP00387611OtherRR MEDICARE
AZ114601Medicare PIN
AZI72451Medicare UPIN