Provider Demographics
NPI:1215919212
Name:ISCAN, CUNEYT (MD)
Entity type:Individual
Prefix:DR
First Name:CUNEYT
Middle Name:
Last Name:ISCAN
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 1:16 ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1218
Mailing Address - Country:US
Mailing Address - Phone:508-864-2607
Mailing Address - Fax:
Practice Address - Street 1:33 LYMAN ST STE 400
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1434
Practice Address - Country:US
Practice Address - Phone:508-898-0055
Practice Address - Fax:508-898-0035
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2153042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0186511Medicaid
MA0186511Medicaid
MAIS A34828Medicare ID - Type Unspecified