Healthcare Provider Details

I. General information

NPI: 1164542080
Provider Name (Legal Business Name): MURAT BANKACI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 N CHURCH ST STE 1
MT PLEASANT PA
15666-1002
US

IV. Provider business mailing address

609 N CHURCH ST STE 1
MT PLEASANT PA
15666-1002
US

V. Phone/Fax

Practice location:
  • Phone: 724-547-4575
  • Fax: 724-547-3319
Mailing address:
  • Phone: 724-547-4575
  • Fax: 724-547-3319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MURAT BANKACI
Title or Position: OWNER
Credential: MD
Phone: 724-547-4575