Basic Information
Provider Information
NPI: 1073909768
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUL
FirstName: ZEYNEP
MiddleName: GUNER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 660 S EUCLID AVE
Address2: MSC 8242-22-02
City: SAINT LOUIS
State: MO
PostalCode: 631101010
CountryCode: US
TelephoneNumber: 3143628200
FaxNumber: 3144545244
Practice Location
Address1: 4921 PARKVIEW PL
Address2: DIV SURG UROLOGY, STE 11C
City: SAINT LOUIS
State: MO
PostalCode: 631101032
CountryCode: US
TelephoneNumber: 3143628200
FaxNumber: 3144545244
Other Information
ProviderEnumerationDate: 04/09/2015
LastUpdateDate: 10/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000X2022030259MOY Allopathic & Osteopathic PhysiciansUrology 

No ID Information.


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