Provider Demographics
NPI:1548444078
Name:FRASER, BURCIN UYGUNGIL (MD/MPH)
Entity type:Individual
Prefix:DR
First Name:BURCIN
Middle Name:UYGUNGIL
Last Name:FRASER
Suffix:
Gender:F
Credentials:MD/MPH
Other - Prefix:
Other - First Name:BURCIN
Other - Middle Name:
Other - Last Name:UYGUNGIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8401 CONNECTICUT AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5829
Mailing Address - Country:US
Mailing Address - Phone:301-453-2530
Mailing Address - Fax:
Practice Address - Street 1:8401 CONNECTICUT AVE STE 220
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5829
Practice Address - Country:US
Practice Address - Phone:301-453-2530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD041100207K00000X
VA0101266736207KA0200X
MDD0076003207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology