Provider Demographics
NPI:1548366974
Name:TAGGE, DERYA UCAR (MD)
Entity type:Individual
Prefix:DR
First Name:DERYA
Middle Name:UCAR
Last Name:TAGGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 NAVIGATORS RUN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-6620
Mailing Address - Country:US
Mailing Address - Phone:843-789-7330
Mailing Address - Fax:843-937-6110
Practice Address - Street 1:109 BEE ST
Practice Address - Street 2:RH JOHNSON VAMC, SERVICE 112
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-5703
Practice Address - Country:US
Practice Address - Phone:843-789-7330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16645208600000X, 2086S0102X, 2086X0206X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Not Answered2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Not Answered2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Not Answered208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery