Basic Information
| Provider Information | |||||||||
| NPI: | 1255652087 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AAKHUS | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | OLIVIA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3400 CIVIC CENTER BLVD | ||||||||
| Address2: | DIVISION OF HEMATOLOGY-ONCOLOGY, PCAM 7, SPE | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191045127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156623681 | ||||||||
| FaxNumber: | 2156624381 | ||||||||
| Practice Location | |||||||||
| Address1: | 3400 CIVIC CENTER BLVD | ||||||||
| Address2: | DIVISION OF HEMATOLOGY-ONCOLOGY, PCAM 7, SPE | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191045127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156623681 | ||||||||
| FaxNumber: | 2156624381 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2010 | ||||||||
| LastUpdateDate: | 04/01/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 11015400A | IN | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | MD448580 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | MD448580 | 01 | PA | PENNSYLVANIA MEDICAL PHYSICIAN AND SURGEON LICENSE NUMBER | OTHER | 204877 | 01 | PA | PENNSYLVANIA MEDICAL TRAINEE LICENSE NUMBER | OTHER |