Healthcare Provider Details

I. General information

NPI: 1831266345
Provider Name (Legal Business Name): MITCHELL STUART AKMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 EAST ST SUITE 300
REDDING CA
96001-1153
US

IV. Provider business mailing address

PO BOX 6971
LINCOLN NE
68506-0971
US

V. Phone/Fax

Practice location:
  • Phone: 530-229-1844
  • Fax: 530-243-6397
Mailing address:
  • Phone: 530-229-1844
  • Fax: 402-434-6047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA54308
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA54308
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: