Basic Information
| Provider Information | |||||||||
| NPI: | 1609123694 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OZKAN | ||||||||
| FirstName: | OZGUR | ||||||||
| MiddleName: | I | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6418 REISTERSTOWN RD | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212152308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103188855 | ||||||||
| FaxNumber: | 4103188302 | ||||||||
| Practice Location | |||||||||
| Address1: | 2955 IVY RD STE 300 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229039353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4349245485 | ||||||||
| FaxNumber: | 4342434784 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2012 | ||||||||
| LastUpdateDate: | 03/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 0101229155 | VA | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.