Provider Demographics
NPI:1437100948
Name:AKTAY, RECAI (MD)
Entity Type:Individual
Prefix:
First Name:RECAI
Middle Name:
Last Name:AKTAY
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 1:22 S GREENE ST
Mailing Address - Street 2:DEPT OF RADIOLOGY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1544
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:DEPT OF RADIOLOGY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-328-3477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35090258207U00000X, 2085R0202X, 2085N0904X, 2085N0904X, 2085P0229X, 2085R0001X, 2085R0205X, 2085R0203X, 2085R0204X, 207UN0902X, 2085R0202X
MDD0087646207UN0902X, 2085R0202X
WI400722085R0202X
CAC529972085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No2085R0205XAllopathic & Osteopathic PhysiciansRadiologyRadiological Physics
No2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD541371100Medicaid
008000215NOtherHUMANA
H14062Medicare UPIN
0099K73601Medicare ID - Type Unspecified
MI1437100948OtherMI MEDICAID
OH7290100OtherAETNA
OHAK4216511Medicare PIN
OHP0042561OtherRAILROAD MEDICARE
OH000000225037OtherUNISON
WI32636300Medicaid
OH2770738Medicaid
OH0304914OtherBCMH
OH751094OtherBUCKEYE
OH363362OtherWELLCARE