Healthcare Provider Details

I. General information

NPI: 1457344871
Provider Name (Legal Business Name): ATALAY SAHIN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 04/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 HANOVER ST
FALL RIVER MA
02720-5246
US

IV. Provider business mailing address

235 HANOVER ST
FALL RIVER MA
02720-5246
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-7368
  • Fax: 508-679-7718
Mailing address:
  • Phone: 508-679-7368
  • Fax: 508-679-7718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number2202
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: