Provider Demographics
NPI:1669430583
Name:GOZU, AYSEGUL (MD)
Entity type:Individual
Prefix:DR
First Name:AYSEGUL
Middle Name:
Last Name:GOZU
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 1:7556 TEAGUE RD STE 450
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1968
Mailing Address - Country:US
Mailing Address - Phone:410-553-8265
Mailing Address - Fax:410-553-8267
Practice Address - Street 1:7556 TEAGUE RD STE 450
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1968
Practice Address - Country:US
Practice Address - Phone:410-553-8265
Practice Address - Fax:410-553-8267
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0059187207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH68500Medicare UPIN