Individual provider · NPI-1
Busranur Agac, MD
Psychiatry & Neurology, Neurology · Bethesda, MD
NPI number1851915474
StatusActive
Last updated in NPPESJun 30, 2024
Details
- NPI
- 1851915474
- Entity type
- Individual (NPI-1)
- Name
- Busranur Agac
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 29, 2020
- Certification date
- Jun 30, 2024
- Last updated
- Jun 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | D0100628 | MD | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | 2022030252 | MO | |
| 2084N0400X | Psychiatry & Neurology, Neurology | R-11889 | IA |
Practice location
10 Center DriveBethesda, MD 20892-0004
Phone 301-496-4000
Mailing address
10 Center DriveBethesda, MD 20892-0004
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