Provider Demographics
NPI:1639356678
Name:AKABIKE, NKIRUKA (MD)
Entity Type:Individual
Prefix:
First Name:NKIRUKA
Middle Name:
Last Name:AKABIKE
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 1:199 E WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:COLUSA
Mailing Address - State:CA
Mailing Address - Zip Code:95932-2954
Mailing Address - Country:US
Mailing Address - Phone:530-458-5821
Mailing Address - Fax:530-458-3210
Practice Address - Street 1:199 E WEBSTER ST
Practice Address - Street 2:
Practice Address - City:COLUSA
Practice Address - State:CA
Practice Address - Zip Code:95932-2954
Practice Address - Country:US
Practice Address - Phone:530-458-5821
Practice Address - Fax:530-458-3210
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA103055207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine