Healthcare Provider Details

I. General information

NPI: 1477121465
Provider Name (Legal Business Name): YASAR TAYLAN ESENGUL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # S51
CLEVELAND OH
44195-3819
US

IV. Provider business mailing address

2130 W CENTRAL AVE
TOLEDO OH
43606-3819
US

V. Phone/Fax

Practice location:
  • Phone: 440-823-0675
  • Fax:
Mailing address:
  • Phone: 419-291-3900
  • Fax: 419-479-6055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35.153671
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: