Provider Demographics
NPI:1033310792
Name:HOPKINS, AKSHATA M (MD)
Entity Type:Individual
Prefix:
First Name:AKSHATA
Middle Name:M
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AKSHATA
Other - Middle Name:ARUN
Other - Last Name:MARBALLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ME
Mailing Address - Street 1:601 5TH ST S
Mailing Address - Street 2:DEPT 6580070205
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4804
Mailing Address - Country:US
Mailing Address - Phone:727-767-3051
Mailing Address - Fax:727-767-4970
Practice Address - Street 1:501 6TH AVE S
Practice Address - Street 2:DEPT 6580070205
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4634
Practice Address - Country:US
Practice Address - Phone:727-767-4243
Practice Address - Fax:727-767-8612
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN11024208000000X
FLME106964208000000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002292400Medicaid
GA591213629BMedicaid
GA591213629BMedicaid
FLDJ815ZMedicare PIN