Healthcare Provider Details

I. General information

NPI: 1104739051
Provider Name (Legal Business Name): MEHMET FARUK KAYAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7310 GROVE RD STE 106
FREDERICK MD
21704-5101
US

IV. Provider business mailing address

13276 ORSAY ST
CLARKSBURG MD
20871-9497
US

V. Phone/Fax

Practice location:
  • Phone: 301-835-2381
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberRSA-03362
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: