Provider Demographics
NPI:1255438800
Name:KOSEOGLU, SELIM TAYLAN (MD)
Entity type:Individual
Prefix:DR
First Name:SELIM
Middle Name:TAYLAN
Last Name:KOSEOGLU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5840 W CRAIG RD STE 120
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-2562
Mailing Address - Country:US
Mailing Address - Phone:702-724-2020
Mailing Address - Fax:702-720-2800
Practice Address - Street 1:330 S RAMPART BLVD STE 360
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-5754
Practice Address - Country:US
Practice Address - Phone:702-724-2020
Practice Address - Fax:702-724-2800
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2022-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV18172207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1255438800Medicaid
NVV56037OtherMEDICARE
CAG40629Medicare UPIN