Provider Demographics
NPI:1871517433
Name:COPUR, MEHMET SITKI (MD)
Entity type:Individual
Prefix:DR
First Name:MEHMET
Middle Name:SITKI
Last Name:COPUR
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 1:2116 WEST FAIDLEY AVENUE SUITE 200
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-4671
Mailing Address - Country:US
Mailing Address - Phone:308-398-5450
Mailing Address - Fax:
Practice Address - Street 1:2116 WEST FAIDLEY AVENUE SUITE 200
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4671
Practice Address - Country:US
Practice Address - Phone:308-398-5450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE19712207RH0003X
MDD42655207RH0003X
CT043085207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47037660113Medicaid
NE47037660113Medicaid
NEG12721Medicare UPIN