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NPI Code Detail

MEDICARE: DR. FEYISARA R AKANKI-AHMAD MD

MEDICARE: DR. FEYISARA R AKANKI-AHMAD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianP4018TX

General Provider Information

NPI Number : 1033492434
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FEYISARA R AKANKI-AHMAD MD
Provider Business Mailing Address
First Line : 1527 W STATE HIGHWAY 114 STE 500
Second Line :
City : GRAPEVINE
State : TX
Zip : 76051-8671
Country : US
Telephone Number : 551-227-7606
Fax Number :
Provider Business Practice Location Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 561-249-4449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 02/24/2026

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