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Individual

IFIOK AKPAN IDEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(512) 730-3056
(888) 730-1925
Mailing address
12101 RAYNER PL, AUSTIN, TX 78738-6059
(216) 682-5519
(888) 730-1925

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101249474
VA
207R00000X
Internal Medicine Physician
01073264A
IN
207R00000X
Internal Medicine Physician
35.097385
OH
207R00000X
Internal Medicine Physician
44424
KY
207R00000X
Internal Medicine Physician
M14550
ID
208M00000X
Hospitalist Physician
Primary
2012-01286
NC
208M00000X
Hospitalist Physician
P9879
TX

Other

Enumeration date
07/15/2009
Last updated
11/29/2023
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