Healthcare Provider Details

I. General information

NPI: 1164547899
Provider Name (Legal Business Name): MEHMET FATIH RAMAZANOGLU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MEHMET FATIH RAMAZANOGLU M.D.

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
US

IV. Provider business mailing address

11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
US

V. Phone/Fax

Practice location:
  • Phone: 315-772-2778
  • Fax:
Mailing address:
  • Phone: 315-772-1648
  • Fax: 315-965-3703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number170898
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: