Provider Demographics
NPI:1548558810
Name:F. AKIOYAME MEDICAL CONSULTANT INC
Entity Type:Organization
Organization Name:F. AKIOYAME MEDICAL CONSULTANT INC
Other - Org Name:VIP PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKIOYAME
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:702-998-1200
Mailing Address - Street 1:4903 VEGAS DR.
Mailing Address - Street 2:STE 102
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-2367
Mailing Address - Country:US
Mailing Address - Phone:702-998-1200
Mailing Address - Fax:702-998-1201
Practice Address - Street 1:4903 VEGAS DR.
Practice Address - Street 2:STE 102
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-2367
Practice Address - Country:US
Practice Address - Phone:702-998-1200
Practice Address - Fax:702-998-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-20
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X, 208VP0000X
NVNV20111310018261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty