1518993187 NPI number — DR. ERNEST KALU AKPAKA PH.D.

Table of content: DR. ERNEST KALU AKPAKA PH.D. (NPI 1518993187)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518993187 NPI number — DR. ERNEST KALU AKPAKA PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AKPAKA
Provider First Name:
ERNEST
Provider Middle Name:
KALU
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518993187
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 41364
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27629-1364
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-327-8997
Provider Business Mailing Address Fax Number:
919-878-6755

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3716 NATIONAL DR
Provider Second Line Business Practice Location Address:
SUIT 208
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27612-4068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-327-8997
Provider Business Practice Location Address Fax Number:
919-878-6755
Provider Enumeration Date:
06/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  3151 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6000781 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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