Provider Demographics
NPI:1093807182
Name:AKGUL, FETIH (MD)
Entity Type:Individual
Prefix:
First Name:FETIH
Middle Name:
Last Name:AKGUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 42ND ST SW
Mailing Address - Street 2:APT # 202
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103
Mailing Address - Country:US
Mailing Address - Phone:701-306-9890
Mailing Address - Fax:
Practice Address - Street 1:510 4TH ST SOUTH
Practice Address - Street 2:PRAIRIE ST JOHNS LLC
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58107
Practice Address - Country:US
Practice Address - Phone:701-476-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDPT101062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND13619Medicaid
MN381G1AKOtherBCBS
ND26215OtherBCBS
ND13619Medicaid
MN381G1AKOtherBCBS