Healthcare Provider Details

I. General information

NPI: 1346651437
Provider Name (Legal Business Name): DAVID PAUL AKBARI AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 05/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 RED FOX RD
ARDEN HILLS MN
55112-6944
US

IV. Provider business mailing address

1260 RED FOX RD
ARDEN HILLS MN
55112-6944
US

V. Phone/Fax

Practice location:
  • Phone: 651-604-9533
  • Fax:
Mailing address:
  • Phone: 651-604-9533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number9063
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number9063
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number9063
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code235500000X
TaxonomySpeech/Language/Hearing Specialist/Technologist
License Number9063
License Number StateMN
# 5
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number9063
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: