Basic Information
Provider Information
NPI: 1487881710
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AYDI
FirstName: ZEYNEP
MiddleName: BOSTANCI
NamePrefix: MRS.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 925 E. MCDOWELL RD.
Address2:  
City: PHOENIX
State: AZ
PostalCode: 85006
CountryCode: US
TelephoneNumber: 6238763880
FaxNumber: 6232852710
Practice Location
Address1: 925 E. MCDOWELL RD.
Address2:  
City: PHOENIX
State: AZ
PostalCode: 85006
CountryCode: US
TelephoneNumber: 6238763880
FaxNumber: 6232852710
Other Information
ProviderEnumerationDate: 06/12/2009
LastUpdateDate: 02/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086X0206X53875AZY Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology
2086X0206XA141829CAN Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology

ID Information
IDTypeStateIssuerDescription
26885705AZ MEDICAID


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