Provider Demographics
NPI:1396716445
Name:SOYER, AYSEGUL (MD)
Entity type:Individual
Prefix:DR
First Name:AYSEGUL
Middle Name:
Last Name:SOYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 OPITZ BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191
Mailing Address - Country:US
Mailing Address - Phone:703-497-9950
Mailing Address - Fax:703-497-9956
Practice Address - Street 1:1930 OPITZ BOULEVARD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191
Practice Address - Country:US
Practice Address - Phone:703-497-9950
Practice Address - Fax:703-497-9956
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1010382142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B92835Medicare UPIN
VA130000814Medicare ID - Type UnspecifiedVA AREA MEDICARE #