Provider Demographics
NPI:1831319789
Name:AKERA DOW, CHIKA (MD)
Entity Type:Individual
Prefix:
First Name:CHIKA
Middle Name:
Last Name:AKERA DOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHIKA
Other - Middle Name:
Other - Last Name:AKERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1601 FRUITVALE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-2418
Mailing Address - Country:US
Mailing Address - Phone:510-535-4000
Mailing Address - Fax:510-535-4128
Practice Address - Street 1:2100 MONUMENT BLVD STE 8
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523
Practice Address - Country:US
Practice Address - Phone:925-363-2000
Practice Address - Fax:925-363-2006
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62930207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA051062OtherMEDICARE FQHC NUMBER
CAZZZ29799ZOtherFFS NUMBER