Provider Demographics
NPI:1346097797
Name:KEKILLI, CENGIZ CAGDAS (MD)
Entity type:Individual
Prefix:MR
First Name:CENGIZ
Middle Name:CAGDAS
Last Name:KEKILLI
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 1:2201 HEMPSTEAD TURNPIKE, NASSAU UNIVERSITY MEDICAL CENT
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554
Mailing Address - Country:US
Mailing Address - Phone:516-585-1076
Mailing Address - Fax:516-842-1556
Practice Address - Street 1:2201 HEMPSTEAD TURNPIKE, NASSAU UNIVERSITY MEDICAL CENT
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554
Practice Address - Country:US
Practice Address - Phone:516-585-1076
Practice Address - Fax:516-842-1556
Is Sole Proprietor?:No
Enumeration Date:2024-05-03
Last Update Date:2025-01-27
Deactivation Date:2025-01-09
Deactivation Code:
Reactivation Date:2025-01-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program