Individual
DR. SERGUL A ERZURUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1075 W WESTERN RESERVE RD, POLAND, OH 44514-3541
(330) 746-7691
Mailing address
10 DUTTON DR, YOUNGSTOWN, OH 44502-1818
(330) 746-7691
(330) 743-8368
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-058517
OH
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
OH35-058517E
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800396
UNITED HEALTHCARE
OH
05
—
0923335
—
OH
01
—
180016191
RAILROAD MEDICARE
OH
01
—
4323390
AETNA
OH
01
—
82797
QUALCHOICE
OH
01
—
Z58517
SUMMACARE
OH
Enumeration date
08/12/2005
Last updated
01/14/2025
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