Provider Demographics
NPI:1528094851
Name:ILERCIL, ORHAN (MD)
Entity type:Individual
Prefix:
First Name:ORHAN
Middle Name:
Last Name:ILERCIL
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 1:1 LAYFAIR DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9717
Mailing Address - Country:US
Mailing Address - Phone:601-326-5700
Mailing Address - Fax:601-326-5700
Practice Address - Street 1:1 LAYFAIR DR
Practice Address - Street 2:SUITE 120
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9717
Practice Address - Country:US
Practice Address - Phone:601-326-5700
Practice Address - Fax:601-326-5701
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS15123174400000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09479328Medicaid
MSG10400Medicare UPIN
MS140000178Medicare ID - Type Unspecified