Healthcare Provider Details

I. General information

NPI: 1144640855
Provider Name (Legal Business Name): EIHAB AKARY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: EIHAB AKARY MD

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1541 FLORIDA AVE STE 100
MODESTO CA
95350-4438
US

IV. Provider business mailing address

2160 COLONIAL BLVD
FORT MYERS FL
33907-1410
US

V. Phone/Fax

Practice location:
  • Phone: 209-577-3388
  • Fax: 209-338-0024
Mailing address:
  • Phone: 239-931-7342
  • Fax: 239-931-7385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME139247
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: