Basic Information
| Provider Information | |||||||||
| NPI: | 1366671117 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AKASAPU | ||||||||
| FirstName: | KARUNAKAR | ||||||||
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| Credential: | M.D., | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 TOWSON AVE | ||||||||
| Address2: | |||||||||
| City: | FORT SMITH | ||||||||
| State: | AR | ||||||||
| PostalCode: | 729014921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4797091924 | ||||||||
| FaxNumber: | 4797097499 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 TOWSON AVE STE 400 | ||||||||
| Address2: | |||||||||
| City: | FORT SMITH | ||||||||
| State: | AR | ||||||||
| PostalCode: | 729014921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4797091924 | ||||||||
| FaxNumber: | 4797097499 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2009 | ||||||||
| LastUpdateDate: | 10/02/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | P24005 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine | 390200000X | BP1-0042295 | TX | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RC0200X | E-10161 | AR | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
No ID Information.