Provider Demographics
NPI:1750758942
Name:AKSUN HEARING CLINIC, LLC
Entity type:Organization
Organization Name:AKSUN HEARING CLINIC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWENER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SRIKANTH
Authorized Official - Middle Name:
Authorized Official - Last Name:DORAISWAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-341-0229
Mailing Address - Street 1:1620 N US HIGHWAY 1 STE 11
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-3241
Mailing Address - Country:US
Mailing Address - Phone:561-341-0229
Mailing Address - Fax:561-250-6986
Practice Address - Street 1:1620 N US HIGHWAY 1 STE 11
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-3241
Practice Address - Country:US
Practice Address - Phone:561-341-0229
Practice Address - Fax:561-250-6986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty