Individual
MUSTAFA ADNAN COBANOGLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LOMA LINDA UNIVERSITY, 11175 CAMPUS STREET SUITE 21123, LOMA LINDA, CA 92354-2741
(909) 558-4354
Mailing address
LOMA LINDA UNIVERSITY, 11175 CAMPUS STREET SUITE 21123, LOMA LINDA, CA 92354-2741
(909) 558-4354
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35-087458
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221079
UNISON
—
01
—
000000503670
ANTHEM
—
05
—
2638793
—
OH
01
—
363430
WELLCARE
—
01
—
741756
BUCKEYE
—
01
—
7818813
AETNA
—
Enumeration date
07/10/2006
Last updated
10/17/2016
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