Provider Demographics
NPI:1821518440
Name:AKALU, NETSANET D
Entity Type:Individual
Prefix:
First Name:NETSANET
Middle Name:D
Last Name:AKALU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 TOWBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-2058
Mailing Address - Country:US
Mailing Address - Phone:512-903-0594
Mailing Address - Fax:
Practice Address - Street 1:2414 TOWBRIDGE CIR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-2058
Practice Address - Country:US
Practice Address - Phone:512-903-0594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)