MEDICARE: DR. FATIH AKISIK M.D

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
1	207U00000X	Nuclear Medicine Physician	01051404A	IN
2	2085R0202X	Diagnostic Radiology Physician	01051404A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	300136798	OTHER	IN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487692901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FATIH AKISIK M.D

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:	SUITE 130
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:	317-963-0860
Fax Number	:

Provider Business Practice Location Address
First Line	:	714 N SENATE AVE
Second Line	:	STE EF100
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-3763
Country	:	US
Telephone Number	:	317-715-6402
Fax Number	:	317-715-6415

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	08/21/2025

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