MEDICARE: EROL BASKURT 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
1	2085R0202X	Diagnostic Radiology Physician	2001026669	MO
2	2085N0700X	Neuroradiology Physician	2001026669	MO
3	2085R0202X	Diagnostic Radiology Physician	0101234733	VA

General Provider Information

NPI Number	:	1831288307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EROL BASKURT MD

Provider Business Mailing Address
First Line	:	13737 NOEL RD STE 1600
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-1374
Country	:	US
Telephone Number	:	303-933-8270
Fax Number	:	214-712-2002

Provider Business Practice Location Address
First Line	:	627 MORRIS PL NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-5221
Country	:	US
Telephone Number	:	303-933-8270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	02/07/2014

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Directions to “ EROL BASKURT MD” Practice Location

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