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General NPI Number Information
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NPI Number | 1487033486
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Entity Type | Individual
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Provider Name | SISIR AKKINENI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 1365 CLIFTON RD NE BLDG A3
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 404-778-7823
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Fax |
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Provider Business Mailing Address
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Address Line | 1365 CLIFTON RD NE BLDG A3
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME142615
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 21405
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 87861
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 87861
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License Number State | GA
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