Individual
SELCUK A TOMBUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2341 MCCALLIE AVE, PLAZA III, SUITE 200, CHATTANOOGA, TN 37404-3239
(423) 629-4106
(423) 629-4116
Mailing address
2341 MCCALLIE AVE, PLAZA III, SUITE 200, CHATTANOOGA, TN 37404-3239
(423) 629-4106
(423) 629-4116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1907
TN
207R00000X
Internal Medicine Physician
OS-054898
FL
207RC0000X
Cardiovascular Disease Physician
Primary
1907
TN
207RC0000X
Cardiovascular Disease Physician
OS054898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46778
BLUE CROSS BLUE SHIELD
FL
05
—
762778785A
—
GA
Enumeration date
05/12/2006
Last updated
04/27/2015
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