Provider Demographics
NPI:1982789749
Name:BURCOGLU-ORAL, ARSINUR DIANA (MD)
Entity type:Individual
Prefix:
First Name:ARSINUR
Middle Name:DIANA
Last Name:BURCOGLU-ORAL
Suffix:
Gender:F
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:DEPT LA 24367
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91185-4367
Mailing Address - Country:US
Mailing Address - Phone:602-441-9524
Mailing Address - Fax:602-441-9524
Practice Address - Street 1:205 W LEGION RD
Practice Address - Street 2:
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-7780
Practice Address - Country:US
Practice Address - Phone:760-351-3737
Practice Address - Fax:760-351-3739
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037990-L207RH0003X
CAC53111207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
841099Medicare UPIN