MEDICARE: DR. ISIL YILDIZ 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	207ZP0101X	Anatomic Pathology Physician	MT196898	PA
2	207ZC0500X	Cytopathology Physician	53213	CT

General Provider Information

NPI Number	:	1528319894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISIL YILDIZ M.D.

Provider Business Mailing Address
First Line	:	5831 WALNUT ST APT 24
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-2544
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	99 EAST RIVER DR
Second Line	:	5TH FLOOR
City	:	EAST HARTFORD
State	:	CT
Zip	:	06108-7301
Country	:	US
Telephone Number	:	860-282-4133
Fax Number	:	860-289-0746

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

Provider Enumeration Date	:	09/27/2012
Last Update Date	:	10/14/2015

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