MEDICARE: IMAD AKEL MD 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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1902673726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMAD AKEL MD INC

Provider Business Mailing Address
First Line	:	6835 NEVADA CT
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91701-7597
Country	:	US
Telephone Number	:	832-518-6706
Fax Number	:

Provider Business Practice Location Address
First Line	:	7950 CHERRY AVE STE 105
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92336-4023
Country	:	US
Telephone Number	:	909-434-1657
Fax Number	:

Authorized Official
Title or Position	:	PEDIATRICIAN
Name	:	DR. IMAD AKEL
Credential	:	MD
Telephone Number	:	832-518-6706

Provider Enumeration Date	:	12/11/2023
Last Update Date	:	10/24/2024

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