MEDICARE: DR. AKIL ABID MERCHANT 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	207RH0003X	Hematology & Oncology Physician	D0063159	MD
2	207RH0003X	Hematology & Oncology Physician	C55368	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	W18762	OTHER	CA	GROUP MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	GR0100430	OTHER	CA	GROUP MEDI-CAL
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1902846306	OTHER	CA	GROUP NPI

General Provider Information

NPI Number	:	1821074857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AKIL ABID MERCHANT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 512717
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90051-0717
Country	:	US
Telephone Number	:	310-423-0161
Fax Number	:	310-423-7182

Provider Business Practice Location Address
First Line	:	127 S SAN VICENTE BLVD STE A-9102
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-3311
Country	:	US
Telephone Number	:	310-423-0161
Fax Number	:	310-423-7182

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

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	04/05/2019

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Directions to “ DR. AKIL ABID MERCHANT M.D.” Practice Location

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