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General NPI Number Information
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NPI Number | 1871517433
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Entity Type | Individual
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Provider Name | MEHMET SITKI COPUR MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 2116 WEST FAIDLEY AVENUE SUITE 200
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4671
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Country | US
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Telephone | 308-398-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 2116 WEST FAIDLEY AVENUE SUITE 200
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4671
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Country | US
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Telephone | 308-398-5450
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 19712
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | D42655
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 043085
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License Number State | CT
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