Provider Demographics
NPI:1073613675
Name:AKOLKAV, APARNA S (MD)
Entity Type:Individual
Prefix:
First Name:APARNA
Middle Name:S
Last Name:AKOLKAV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1665 SCENIC AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626
Mailing Address - Country:US
Mailing Address - Phone:714-436-4444
Mailing Address - Fax:714-436-4812
Practice Address - Street 1:1665 SCENIC AVE
Practice Address - Street 2:STE 100
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626
Practice Address - Country:US
Practice Address - Phone:714-436-4444
Practice Address - Fax:714-436-4812
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA79648207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A796480Medicaid
0-581-706-9OtherECFMG
BA7877193OtherDEA NUMBER
0-581-706-9OtherECFMG