Provider Demographics
NPI:1952965758
Name:AKKARY, HALA (PA-C)
Entity type:Individual
Prefix:
First Name:HALA
Middle Name:
Last Name:AKKARY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 N SANTA FE AVE STE 2010
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-7532
Mailing Address - Country:US
Mailing Address - Phone:405-272-5555
Mailing Address - Fax:405-272-5517
Practice Address - Street 1:6201 N SANTA FE AVE STE 2010
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-7532
Practice Address - Country:US
Practice Address - Phone:405-272-5555
Practice Address - Fax:405-272-5517
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK390200000X
OK3063363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program