MEDICARE: ABBA & SONS 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	208100000X	Physical Medicine & Rehabilitation Physician	12100	NV
2	261QU0200X	Urgent Care Clinic/Center
3	363LF0000X	Family Nurse Practitioner	APN001048	NV
4	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1568834216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABBA & SONS INC

Provider Business Mailing Address
First Line	:	4903 VEGAS DRIVE
Second Line	:	SUITE 101
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-1204
Country	:	US
Telephone Number	:	702-505-8579
Fax Number	:	705-851-4898

Provider Business Practice Location Address
First Line	:	4903 VEGAS DRIVE
Second Line	:	STE 101
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-1204
Country	:	US
Telephone Number	:	702-505-8579
Fax Number	:	702-851-4898

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. FRANKLIN AKIOYAME
Credential	:	APN
Telephone Number	:	702-505-8579

Provider Enumeration Date	:	10/21/2015
Last Update Date	:	11/02/2020

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Directions to “ABBA & SONS INC ” Practice Location

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