| Tamer Acikalin | |
|
1111 Medical Center Blvd Suite N-306 Marrero LA 70072-3151 | |
| (504) 391-6000 | |
| (504) 391-6009 |
| Full Name | Tamer Acikalin |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Medical Center Blvd, Marrero, Louisiana |
| Authorized Official Name and Position | Tamer Acikalin (OWNER) |
| Authorized Official Contact | 5043916000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamer Acikalin 1111 Medical Center Blvd Suite N-306 Marrero LA 70072-3151 Ph: (504) 391-6000 | Tamer Acikalin 1111 Medical Center Blvd Suite N-306 Marrero LA 70072-3151 Ph: (504) 391-6000 |
| NPI Number | 1720301112 |
|---|---|
| Provider Enumeration Date | 03/12/2010 |
| Last Update Date | 03/12/2010 |
| Medicare PECOS PAC ID | 4082742564 |
|---|---|
| Medicare Enrollment ID | O20100504000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720301112 | NPI | - | NPPES |
| 1188841 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 006394R (Louisiana) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 04164R (Louisiana) | Primary |
| Provider Name | Tamer Acikalin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578673141 PECOS PAC ID: 3577519990 Enrollment ID: I20050329000229 |
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