Provider Demographics
NPI:1013769520
Name:HABERAL, HAKAN BAHADIR (MD)
Entity Type:Individual
Prefix:MR
First Name:HAKAN
Middle Name:BAHADIR
Last Name:HABERAL
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:MEKSIKA CADDESI 2449. SOKAK BUKETEVLER SITESI
Mailing Address - Street 2:15/D/16 UMITKOY
Mailing Address - City:ANKARA
Mailing Address - State:ANKARA
Mailing Address - Zip Code:06290
Mailing Address - Country:TR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:SANATORYUM CADDESI PINARBASI MAHALLESI ARDAHAN
Practice Address - Street 2:SOKAK NO: 25 KECIOREN
Practice Address - City:ANKARA
Practice Address - State:ANKARA
Practice Address - Zip Code:06290
Practice Address - Country:TR
Practice Address - Phone:903-123-5690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.083134390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program