Provider Demographics
NPI:1972572667
Name:HASANOGLU, KAYA Y (MD)
Entity Type:Individual
Prefix:DR
First Name:KAYA
Middle Name:Y
Last Name:HASANOGLU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:330 SW 43RD ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-4900
Mailing Address - Country:US
Mailing Address - Phone:425-251-9900
Mailing Address - Fax:425-251-9909
Practice Address - Street 1:330 SW 43RD ST
Practice Address - Street 2:SUITE D
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-4900
Practice Address - Country:US
Practice Address - Phone:425-251-9900
Practice Address - Fax:425-251-9909
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2013-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00032732208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG71897Medicare UPIN