Provider Demographics
NPI:1679572325
Name:BABATURK, HASAN HUSEYIN (MD)
Entity type:Individual
Prefix:DR
First Name:HASAN
Middle Name:HUSEYIN
Last Name:BABATURK
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 1:901 EASTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21221-3442
Mailing Address - Country:US
Mailing Address - Phone:410-391-8300
Mailing Address - Fax:410-391-8377
Practice Address - Street 1:901 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21221-3442
Practice Address - Country:US
Practice Address - Phone:410-391-8300
Practice Address - Fax:410-391-8377
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-15
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD37592208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD351A 617894OtherCAREFIRST
MD351A 617894OtherCAREFIRST
MDH868Medicare ID - Type Unspecified