Provider Demographics
NPI:1801422209
Name:AKG MEDICAL CONSULTING PLLC
Entity type:Organization
Organization Name:AKG MEDICAL CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHU
Authorized Official - Middle Name:K
Authorized Official - Last Name:GOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-600-8801
Mailing Address - Street 1:7425 E SHEA BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6411
Mailing Address - Country:US
Mailing Address - Phone:480-660-8823
Mailing Address - Fax:480-660-8801
Practice Address - Street 1:7425 E SHEA BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6411
Practice Address - Country:US
Practice Address - Phone:480-660-8823
Practice Address - Fax:480-660-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty