Healthcare Provider Details
I. General information
NPI: 1992972384
Provider Name (Legal Business Name): ERKUT H. BORAZANCI MD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/14/2008
Last Update Date: 12/15/2020
Certification Date: 12/15/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10510 N 92ND ST STE 100
SCOTTSDALE AZ
85258-4631
US
IV. Provider business mailing address
10510 N 92ND ST STE 100
SCOTTSDALE AZ
85258-4631
US
V. Phone/Fax
- Phone: 480-323-1350
- Fax:
- Phone: 480-323-1350
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | 47856 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: