Provider Demographics
NPI:1154602480
Name:ALIBAZOGLU, HALUK (MD)
Entity type:Individual
Prefix:DR
First Name:HALUK
Middle Name:
Last Name:ALIBAZOGLU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:GUZELKENT SOKAK, CANKAYA EVLERI
Mailing Address - Street 2:C-BLOK, NO 35
Mailing Address - City:CANKAYA
Mailing Address - State:ANKARA
Mailing Address - Zip Code:06550
Mailing Address - Country:TR
Mailing Address - Phone:90532-478-8099
Mailing Address - Fax:90312-441-9259
Practice Address - Street 1:5536 RENAISSANCE AVE
Practice Address - Street 2:UNIT NO 3
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-5673
Practice Address - Country:US
Practice Address - Phone:858-225-0529
Practice Address - Fax:858-225-0529
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036108226207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine