Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125060838 | IL |
N | 111NI0900X | Internist | 125060838 | IL |
N | 207RH0000X | Hematologist | 036137955 | IL |
Y | 207RH0003X | Hematology & Oncology | 036137955 | IL |
NPI | 1093077208 |
---|---|
Provider Name | Imo Joseph Akpan |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 11/07/2019 |