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Juyan Lotfali Pourturk

Student in an Organized Health Care Education/Training Program

Student, Health Care

3000 Arlington Ave, Toledo, OH 43614-2595

PECOS Enrollment

This provider is enrolled in PECOS as JUYAN POURTURK.

Based on the most recent information from CMS, provider Juyan Lotfali Pourturk is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:36 AM.

Profile Details

Provider ID
1023740966
Provider Type
Individual
Full Name
Pourturk, Juyan Lotfali
Title
Dr.
Credential
DO

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/29/2022
Last Updated
6/29/2022

Contact Information

Practice Location

3000 Arlington Ave, Toledo, OH 43614-2595

(480) 272-3232

Unlisted Fax

Mailing Location

3000 Arlington Ave, Toledo, OH 43614-2595

(480) 272-3232

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Juyan Lotfali Pourturk

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Code

Description

License

Code

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