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NPI Code Detail

MEDICARE: DR. MUSTAFA FAZIL POLAT MD

MEDICARE: DR. MUSTAFA FAZIL POLAT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician430511979MI

General Provider Information

NPI Number : 1073180378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUSTAFA FAZIL POLAT MD
Provider Business Mailing Address
First Line : 3710 SW US VETERANS HOSPITAL RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-2964
Country : US
Telephone Number : 313-632-3230
Fax Number :
Provider Business Practice Location Address
First Line : 3710 SW US VETERANS HOSPITAL RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-2964
Country : US
Telephone Number : 313-632-3230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2021
Last Update Date : 02/20/2026

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Directions to “ DR. MUSTAFA FAZIL POLAT MD” Practice Location

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