MEDICARE: ERDOGAN TUFEKCIOGLU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	01021716A	IN

General Provider Information

NPI Number	:	1063405231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERDOGAN TUFEKCIOGLU M.D.

Provider Business Mailing Address
First Line	:	9201 CALUMET AVE
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-2807
Country	:	US
Telephone Number	:	219-836-2022
Fax Number	:	219-836-0034

Provider Business Practice Location Address
First Line	:	1500 S LAKE PARK AVE
Second Line	:	MUNSTER RADIOLOGY GROUP
City	:	HOBART
State	:	IN
Zip	:	46342-6638
Country	:	US
Telephone Number	:	219-947-6310
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	07/08/2007

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