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Individual

DR. FATIH AKISIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
714 N SENATE AVE, STE EF100, INDIANAPOLIS, IN 46202-3763
(317) 715-6402
(317) 715-6415
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
(317) 963-0860

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
01051404A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
01051404A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200395380
IN
01
300136798
RAILROAD MEDICARE
IN
Enumeration date
06/04/2006
Last updated
08/21/2025
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