Provider Demographics
NPI:1821074857
Name:MERCHANT, AKIL ABID (MD)
Entity Type:Individual
Prefix:DR
First Name:AKIL
Middle Name:ABID
Last Name:MERCHANT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 512717
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90051-0717
Mailing Address - Country:US
Mailing Address - Phone:310-423-0161
Mailing Address - Fax:310-423-7182
Practice Address - Street 1:127 S SAN VICENTE BLVD STE A-9102
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-3311
Practice Address - Country:US
Practice Address - Phone:310-423-0161
Practice Address - Fax:310-423-7182
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0063159207RH0003X
CAC55368207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW18762OtherGROUP MEDICARE
CAGR0100430OtherGROUP MEDI-CAL
MD411728000Medicaid
CA1902846306OtherGROUP NPI
MD175488ZAWAMedicare PIN
CAW18762OtherGROUP MEDICARE