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NPI Code Detail

MEDICARE: MERVE KARABULUT M.D.

MEDICARE:   MERVE  KARABULUT  M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianA144406CA

General Provider Information

NPI Number : 1366852543
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERVE KARABULUT M.D.
Provider Business Mailing Address
First Line : 1107 CAMPANILE
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-9035
Country : US
Telephone Number : 408-250-3301
Fax Number :
Provider Business Practice Location Address
First Line : 5 CENTERPOINTE DR
Second Line :
City : LA PALMA
State : CA
Zip : 90623-1050
Country : US
Telephone Number : 408-250-3301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2014
Last Update Date : 12/15/2021

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