Provider Demographics
NPI:1457361107
Name:BOZKURT, BIYKEM (MD)
Entity type:Individual
Prefix:
First Name:BIYKEM
Middle Name:
Last Name:BOZKURT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 HOLCOMBE BLVD
Mailing Address - Street 2:MEDVAMC CARDIOLOGY SECTION-3C 306A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4211
Mailing Address - Country:US
Mailing Address - Phone:713-794-8019
Mailing Address - Fax:713-794-7551
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:MEDVAMC CARDIOLOGY SECTION-3C 306A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-794-8019
Practice Address - Fax:713-794-7551
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5218207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177391301Medicaid
TX8L14766Medicare PIN
TXP00270719Medicare PIN
TX177391301Medicaid