Provider Demographics
NPI:1245128453
Name:ERGUN, BEYZANUR (MD)
Entity type:Individual
Prefix:
First Name:BEYZANUR
Middle Name:
Last Name:ERGUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BEYZANUR
Other - Middle Name:
Other - Last Name:GUNSILI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6051 ROMA DR APT 105
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-4663
Mailing Address - Country:US
Mailing Address - Phone:857-869-6262
Mailing Address - Fax:
Practice Address - Street 1:1501 KINGS HWY
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-4228
Practice Address - Country:US
Practice Address - Phone:318-626-0434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program