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NPI Code Detail

MEDICARE: DARIA AKSIONAV MD

MEDICARE:   DARIA  AKSIONAV  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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1215515309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARIA AKSIONAV MD
Provider Business Mailing Address
First Line : 6025 WALNUT GROVE RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2131
Country : US
Telephone Number : 901-226-1356
Fax Number :
Provider Business Practice Location Address
First Line : 920 MADISON AVE SUITE 447
Second Line :
City : MEMPHIS
State : TN
Zip : 38163-3438
Country : US
Telephone Number : 901-448-5814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2021
Last Update Date : 10/30/2025

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