Healthcare Provider Details

I. General information

NPI: 1093015828
Provider Name (Legal Business Name): AKANE INSTITUTE OF ALLERGY, ASTHMA & SLEEP MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2010
Last Update Date: 04/09/2020
Certification Date: 04/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10755 SCRIPPS POWAY PKWY SUITE 455
SAN DIEGO CA
92131-3924
US

IV. Provider business mailing address

10755 SCRIPPS POWAY PKWY SUITE 455
SAN DIEGO CA
92131-3924
US

V. Phone/Fax

Practice location:
  • Phone: 502-751-4798
  • Fax: 717-798-9898
Mailing address:
  • Phone: 502-751-4798
  • Fax: 717-798-9898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberA111243
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA111243
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberA111243
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC54071
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberC54071
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberC54071
License Number StateCA

VIII. Authorized Official

Name: DR. ANOOP KARIPPOT
Title or Position: PRESIDENT
Credential: MD
Phone: 502-767-3795