Healthcare Provider Details

I. General information

NPI: 1972568723
Provider Name (Legal Business Name): SIRI S AKAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 RED HOOK PLZ STE 205
ST THOMAS VI
00802-1346
US

IV. Provider business mailing address

6500 RED HOOK PLZ STE 205
ST THOMAS VI
00802-1346
US

V. Phone/Fax

Practice location:
  • Phone: 340-775-2303
  • Fax: 855-279-4420
Mailing address:
  • Phone: 340-775-2303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1377
License Number StateVI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME77806
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: