Healthcare Provider Details

I. General information

NPI: 1265526321
Provider Name (Legal Business Name): AKIN NEFI ERASLAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22201 MOROSS RD SUITE 260
DETROIT MI
48236-2169
US

IV. Provider business mailing address

22201 MOROSS RD SUITE 260
DETROIT MI
48236-2169
US

V. Phone/Fax

Practice location:
  • Phone: 313-640-7700
  • Fax:
Mailing address:
  • Phone: 313-640-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number18266
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: