Basic Information
Provider Information
NPI: 1326071911
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EKSIOGLU
FirstName: YAMAN
MiddleName: ZORLU
NamePrefix:  
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 975 JOHNSON FERRY RD STE 340
Address2:  
City: ATLANTA
State: GA
PostalCode: 303424735
CountryCode: US
TelephoneNumber: 4047855437
FaxNumber: 4047854750
Practice Location
Address1: 975 JOHNSON FERRY RD STE 340
Address2:  
City: ATLANTA
State: GA
PostalCode: 303424735
CountryCode: US
TelephoneNumber: 4047855437
FaxNumber: 4047854750
Other Information
ProviderEnumerationDate: 07/08/2006
LastUpdateDate: 06/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0402X80716GAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology

No ID Information.


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