Provider Demographics
NPI:1043462807
Name:SENER, MELIS OKYAR (MD)
Entity type:Individual
Prefix:DR
First Name:MELIS
Middle Name:OKYAR
Last Name:SENER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MELIS
Other - Middle Name:
Other - Last Name:OKYAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:915 HALF ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3658
Mailing Address - Country:US
Mailing Address - Phone:202-546-4504
Mailing Address - Fax:866-639-4761
Practice Address - Street 1:660 PENNSYLVANIA AVE SE
Practice Address - Street 2:SUITE #100
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4346
Practice Address - Country:US
Practice Address - Phone:202-546-4504
Practice Address - Fax:202-544-6136
Is Sole Proprietor?:No
Enumeration Date:2008-10-10
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101239434207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAMC12646Medicare PIN