Basic Information
Provider Information | |||||||||
NPI: | 1114452679 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | YALNIZ | ||||||||
FirstName: | FEVZI | ||||||||
MiddleName: | FIRAT | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1515 HOLCOMBE BLVD. UNIT 428 | ||||||||
Address2: | UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | ||||||||
City: | HOUSTON | ||||||||
State: | TX | ||||||||
PostalCode: | 770305505 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7137454439 | ||||||||
FaxNumber: | 7137920896 | ||||||||
Practice Location | |||||||||
Address1: | 800 ROSE ST ROACH CANCER CTR 1ST FL | ||||||||
Address2: |   | ||||||||
City: | LEXINGTON | ||||||||
State: | KY | ||||||||
PostalCode: | 405365505 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8592576006 | ||||||||
FaxNumber: | 8592576002 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 04/21/2017 | ||||||||
LastUpdateDate: | 09/23/2021 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 09/23/2021 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RX0202X | FL066 | KY | N |   | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | 390200000X |   |   | N |   | Student, Health Care | Student in an Organized Health Care Education/Training Program |   | 207RH0000X | FL066 | KY | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology |
No ID Information.