Provider Demographics
NPI:1083937015
Name:AKPAN, EKA U IX
Entity Type:Individual
Prefix:
First Name:EKA
Middle Name:U
Last Name:AKPAN
Suffix:IX
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 GIVAN AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-2741
Mailing Address - Country:US
Mailing Address - Phone:718-994-6475
Mailing Address - Fax:
Practice Address - Street 1:1670 GIVAN AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-2741
Practice Address - Country:US
Practice Address - Phone:718-994-6475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide