Provider Demographics
NPI:1659863025
Name:OZLEM GOKER-ALPAN MD LLC
Entity type:Organization
Organization Name:OZLEM GOKER-ALPAN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINITRATIVE
Authorized Official - Prefix:
Authorized Official - First Name:UYENSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-529-6805
Mailing Address - Street 1:3702 PENDER DR STE 170
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6066
Mailing Address - Country:US
Mailing Address - Phone:703-261-6220
Mailing Address - Fax:703-991-6592
Practice Address - Street 1:3702 PENDER DR STE 170
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6066
Practice Address - Country:US
Practice Address - Phone:703-261-6220
Practice Address - Fax:703-991-6592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-01
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101247355207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)Group - Single Specialty