Provider Demographics
NPI:1801978705
Name:AKAM, ABU AREIDA A (MD)
Entity type:Individual
Prefix:
First Name:ABU AREIDA
Middle Name:A
Last Name:AKAM
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:PO BOX 5990
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85366-6990
Mailing Address - Country:US
Mailing Address - Phone:928-343-7911
Mailing Address - Fax:928-343-9547
Practice Address - Street 1:2400 S AVE A
Practice Address - Street 2:YUMA REGIONAL MEDICAL CENTER
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364
Practice Address - Country:US
Practice Address - Phone:928-336-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34396208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0774360OtherBCBS
AZ868896Medicaid
P00255649OtherRR MC
AZZ117679Medicare PIN
AZAZ0774360OtherBCBS
AZZ105322Medicare PIN