Individual
EDIZ TASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 HOSPITAL ST STE 102, PASCAGOULA, MS 39581
(228) 762-1002
Mailing address
3704 BIENVILLE BLVD STE B, OCEAN SPRINGS, MS 39564-5710
(228) 872-4040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R3053
KY
207RC0000X
Cardiovascular Disease Physician
Primary
26840
MS
Other
Enumeration date
05/09/2012
Last updated
06/24/2019
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