Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 01051404A | IN |
NPI | 1487692901 |
---|---|
Provider Name | Dr. Fatih Akisik |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-3763 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 25/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200395380 | (05) | IN |
300136798 | RAILROAD MEDICARE (01) | IN |
H76107 | (02) | IN |