Healthcare Provider Details

I. General information

NPI: 1114452679
Provider Name (Legal Business Name): FEVZI FIRAT YALNIZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2017
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST ROACH CANCER CTR 1ST FL
LEXINGTON KY
40536-5505
US

IV. Provider business mailing address

1515 HOLCOMBE BLVD. UNIT 428 UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER
HOUSTON TX
77030-5505
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-6006
  • Fax: 859-257-6002
Mailing address:
  • Phone: 713-745-4439
  • Fax: 713-792-0896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberFL066
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberFL066
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: