Provider Demographics
NPI:1649316076
Name:AYGUN, MEHTAP A (MD)
Entity type:Individual
Prefix:DR
First Name:MEHTAP
Middle Name:A
Last Name:AYGUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:301 SAINT PAUL ST
Mailing Address - Street 2:SUITE 703
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2102
Mailing Address - Country:US
Mailing Address - Phone:410-332-9879
Mailing Address - Fax:410-547-1805
Practice Address - Street 1:301 SAINT PAUL ST
Practice Address - Street 2:SUITE 703
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2102
Practice Address - Country:US
Practice Address - Phone:410-332-9878
Practice Address - Fax:410-547-1805
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0025242207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB66956Medicare UPIN
MD1143Medicare ID - Type Unspecified