Provider Demographics
NPI:1396996245
Name:AIKENS, ALAN CLEVELAND (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:CLEVELAND
Last Name:AIKENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 CHESTER AVE
Mailing Address - Street 2:202
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2016
Mailing Address - Country:US
Mailing Address - Phone:661-716-9410
Mailing Address - Fax:661-716-9415
Practice Address - Street 1:2701 CHESTER AVE
Practice Address - Street 2:202
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2016
Practice Address - Country:US
Practice Address - Phone:661-716-9410
Practice Address - Fax:661-716-9415
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.31692208800000X
CAA130752208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I347870OtherMEDICARE PART B
AL511-28170OtherBCBS OF AL
AL141001Medicaid