Provider Demographics
NPI:1639225824
Name:AKIL, MAYADA (MD)
Entity Type:Individual
Prefix:DR
First Name:MAYADA
Middle Name:
Last Name:AKIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6282 29TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-1510
Mailing Address - Country:US
Mailing Address - Phone:202-966-0772
Mailing Address - Fax:202-966-3627
Practice Address - Street 1:7910 WOODMONT AVE
Practice Address - Street 2:SUITE 1101
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3002
Practice Address - Country:US
Practice Address - Phone:202-966-0772
Practice Address - Fax:202-966-0772
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00527912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
022702M64Medicare PIN
492073Medicare ID - Type Unspecified
E36342Medicare UPIN