Provider Demographics
NPI:1942196860
Name:TAHMAZ GUNDOGDU, FATMA ELA (MD)
Entity type:Individual
Prefix:
First Name:FATMA
Middle Name:ELA
Last Name:TAHMAZ GUNDOGDU
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 1:2139 WILMINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-6238
Mailing Address - Country:US
Mailing Address - Phone:925-849-2111
Mailing Address - Fax:
Practice Address - Street 1:2139 WILMINGTON DR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-6238
Practice Address - Country:US
Practice Address - Phone:925-849-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC203036208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics