Provider Demographics
NPI:1427014844
Name:AIKENS, MICHAEL LAMONT (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:LAMONT
Last Name:AIKENS
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 1:107 24TH ST
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-6253
Mailing Address - Country:US
Mailing Address - Phone:334-203-1232
Mailing Address - Fax:334-203-1269
Practice Address - Street 1:107 24TH ST
Practice Address - Street 2:(OPELIKA CARDIOVASCULAR & ASSOC. P.C.
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-6253
Practice Address - Country:US
Practice Address - Phone:334-826-5577
Practice Address - Fax:334-826-7003
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00019164207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
G08662Medicare UPIN