MEDICARE: DR. GUNER BUYUKKUS GULMEN 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	207RN0300X	Nephrology Physician	R5947	MO

General Provider Information

NPI Number	:	1962432807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUNER BUYUKKUS GULMEN MD

Provider Business Mailing Address
First Line	:	100 N EUCLID AVE
Second Line	:	SUITE 800
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1529
Country	:	US
Telephone Number	:	314-454-0220
Fax Number	:	314-454-0028

Provider Business Practice Location Address
First Line	:	100 N EUCLID AVE
Second Line	:	SUITE 800
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1529
Country	:	US
Telephone Number	:	314-454-0220
Fax Number	:	314-454-0028

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	07/08/2007

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