Healthcare Provider Details

I. General information

NPI: 1285099911
Provider Name (Legal Business Name): SEMA B SEKENDUR M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SEMA BANU OZKUL

II. Dates (important events)

Enumeration Date: 12/23/2015
Last Update Date: 12/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14-3561 HAWAII RD.
PAHOA HI
96778
US

IV. Provider business mailing address

P.O BOX 1701
PAHOA HI
96778
US

V. Phone/Fax

Practice location:
  • Phone: 206-940-2922
  • Fax:
Mailing address:
  • Phone: 206-940-2922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: