Provider Demographics
NPI:1437325313
Name:NABH, AKASH (MD)
Entity Type:Individual
Prefix:MR
First Name:AKASH
Middle Name:
Last Name:NABH
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 1:5757 W. THUNDERBIRD RD.
Mailing Address - Street 2:SUITE W212.
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306
Mailing Address - Country:US
Mailing Address - Phone:602-603-2275
Mailing Address - Fax:602-603-2263
Practice Address - Street 1:5757 W. THUNDERBIRD RD.
Practice Address - Street 2:SUITE W212.
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306
Practice Address - Country:US
Practice Address - Phone:602-603-2275
Practice Address - Fax:602-603-2263
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AZ47032207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
824926OtherACCESS
AZZ158513Medicaid
AZZ158513Medicaid