MEDICARE: F. AKIOYAME MEDICAL CONSULTANT INC

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	208VP0000X	Pain Medicine Physician
2	261QH0100X	Health Service Clinic/Center	NV20111310018	NV
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1548558810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	F. AKIOYAME MEDICAL CONSULTANT INC

Provider Business Mailing Address
First Line	:	4903 VEGAS DR.
Second Line	:	STE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2367
Country	:	US
Telephone Number	:	702-998-1200
Fax Number	:	702-998-1201

Provider Business Practice Location Address
First Line	:	4903 VEGAS DR.
Second Line	:	STE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2367
Country	:	US
Telephone Number	:	702-998-1200
Fax Number	:	702-998-1201

Authorized Official
Title or Position	:	CEO
Name	:	MR. FRANKLIN AKIOYAME
Credential	:	APN
Telephone Number	:	702-998-1200

Provider Enumeration Date	:	07/20/2011
Last Update Date	:	11/02/2020

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