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NPI Code Detail

MEDICARE: AKASHI INNOVATIONS PLLC

MEDICARE: AKASHI INNOVATIONS PLLC
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
1207RI0011XInterventional Cardiology Physician

General Provider Information

NPI Number : 1417887100
Entity Type Code : Organization
Provider Name (Legal Business Name) : AKASHI INNOVATIONS PLLC
Provider Business Mailing Address
First Line : 11124 W CALIFORNIA AVE
Second Line :
City : YOUNGTOWN
State : AZ
Zip : 85363-1246
Country : US
Telephone Number : 623-583-2073
Fax Number : 623-583-1099
Provider Business Practice Location Address
First Line : 10401 W THUNDERBIRD BLVD
Second Line :
City : SUN CITY
State : AZ
Zip : 85351-3004
Country : US
Telephone Number : 623-832-4000
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : PEGGY JETER
Credential :
Telephone Number : 623-583-2073
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “AKASHI INNOVATIONS PLLC ” Practice Location

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