Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301092312 | MI |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 45748 | AZ |
NPI | 1992953541 |
---|---|
Provider Name | Ahmed Nader Akl |
First Address | Scottsdale, AZ 85259-2687 |
Second Address | Scottsdale, AZ 85259-2687 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 13/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
736181 | (05) | AZ |