Healthcare Provider Details

I. General information

NPI: 1245296904
Provider Name (Legal Business Name): AHMED M AKL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 W MARKET ST STE 100
LIMA OH
45805-2796
US

IV. Provider business mailing address

803 W MARKET ST STE 100
LIMA OH
45805-2796
US

V. Phone/Fax

Practice location:
  • Phone: 419-996-5063
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberAA060744
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME63023
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number35.064171
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: