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NPI Code Detail

MEDICARE: DR. NURI ILKER AKKUS M.D.

MEDICARE: DR. NURI ILKER AKKUS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician203943LA
2207RI0011XInterventional Cardiology Physician04-38772KS
3207RI0011XInterventional Cardiology PhysicianE-3259AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
34P670F600OTHERLAMEDICARE P-TAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538164421
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NURI ILKER AKKUS M.D.
Provider Business Mailing Address
First Line : 11001 EXECUTIVE CENTER DRIVE
Second Line : SUITE 200
City : LITTLE ROCK
State : AR
Zip : 72211-4393
Country : US
Telephone Number : 501-812-7215
Fax Number : 501-812-7207
Provider Business Practice Location Address
First Line : 5315 WEST 12TH STREET
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-1858
Country : US
Telephone Number : 501-664-0941
Fax Number : 501-666-3956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/07/2023

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