Provider Demographics
NPI:1376815142
Name:OZTURK, ERKAN (MD)
Entity type:Individual
Prefix:DR
First Name:ERKAN
Middle Name:
Last Name:OZTURK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 VIRGINIA AVE 107
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4406
Mailing Address - Country:US
Mailing Address - Phone:401-784-4923
Mailing Address - Fax:
Practice Address - Street 1:407 EAST AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5290
Practice Address - Country:US
Practice Address - Phone:401-784-4923
Practice Address - Fax:401-784-4902
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD15040207RG0300X, 282N00000X
NY272087282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine