Healthcare Provider Details

I. General information

NPI: 1952569493
Provider Name (Legal Business Name): BOGACHAN SAHIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2008
Last Update Date: 07/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST
BALTIMORE MD
21287-0005
US

IV. Provider business mailing address

PO BOX 64227
BALTIMORE MD
21264-4227
US

V. Phone/Fax

Practice location:
  • Phone: 585-256-1200
  • Fax: 585-756-5189
Mailing address:
  • Phone: 585-256-1200
  • Fax: 585-756-5189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number269983
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD74752
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number269983
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number269983
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: