Provider Demographics
NPI:1093504938
Name:CETIN, OKAN (MD)
Entity type:Individual
Prefix:
First Name:OKAN
Middle Name:
Last Name:CETIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 CAMBRIDGE STREET MOB 308
Mailing Address - Street 2:ST. ELIZABETHS MEDICAL CENTER DEPARTMENT OF MEDICINE IN
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135
Mailing Address - Country:US
Mailing Address - Phone:617-779-6342
Mailing Address - Fax:
Practice Address - Street 1:736 CAMBRIDGE STREET MOB 308
Practice Address - Street 2:ST. ELIZABETHS MEDICAL CENTER DEPARTMENT OF MEDICINE IN
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:617-779-6342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program