Basic Information
Provider Information
NPI: 1184664450
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKBIYIK
FirstName: NEJAT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3800 WOODWARD AVE.
Address2: SUITE 702
City: DETROIT
State: MI
PostalCode: 482012064
CountryCode: US
TelephoneNumber: 3132621303
FaxNumber: 3132621238
Practice Location
Address1: 4100 JOHN R.
Address2:  
City: DETROIT
State: MI
PostalCode: 48201
CountryCode: US
TelephoneNumber: 3137459191
FaxNumber: 3137452314
Other Information
ProviderEnumerationDate: 06/07/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X4301086995MIY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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