Healthcare Provider Details

I. General information

NPI: 1609958347
Provider Name (Legal Business Name): ULCAY E AKIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 01/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 UNIVERSITY AVE E
SAINT PAUL MN
55101-2507
US

IV. Provider business mailing address

200 UNIVERSITY AVE E
SAINT PAUL MN
55101-2507
US

V. Phone/Fax

Practice location:
  • Phone: 651-325-2121
  • Fax: 651-325-2122
Mailing address:
  • Phone: 651-325-2121
  • Fax: 651-325-2122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number44413
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: