Individual
ANTHONY N AKOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
426 S ALABAMA ST STE 100, INDIANAPOLIS, IN 46225-3301
(317) 528-2489
(317) 528-3770
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01042627A
IN
207Q00000X
Family Medicine Physician
01069397A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100340610
—
IN
05
—
20105210
—
IN
Enumeration date
04/26/2006
Last updated
12/28/2022
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