Provider Demographics
NPI:1144892803
Name:MUT ASKUN, MELIKE
Entity type:Individual
Prefix:
First Name:MELIKE
Middle Name:
Last Name:MUT ASKUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MELIKE
Other - Middle Name:
Other - Last Name:MUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:415 RAY C HUNT DR STE 3100
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-2980
Practice Address - Country:US
Practice Address - Phone:434-243-3633
Practice Address - Fax:434-243-1539
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238888207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery