Healthcare Provider Details

I. General information

NPI: 1295654929
Provider Name (Legal Business Name): MUHAMET KIVILCIM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503900 MOOTY, 13 FISHERMEN BEACHROAD GARAPAN
SAIPAN MP
96950
US

IV. Provider business mailing address

503900 MOOTY, 13 FISHERMEN BEACHROAD GARAPAN
SAIPAN MP
96950
US

V. Phone/Fax

Practice location:
  • Phone: 670-235-9090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberPHY-0977
License Number StateMP

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: