Individual
EBRU UNLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.146622
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071778
BLUECROSS BLUESHIELD
—
Enumeration date
06/01/2019
Last updated
03/31/2023
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