Individual
DR. JASON ATTICUS AKULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, 1830 BUILDING ROOM 9035, BALTIMORE, MD 21287-0005
(410) 955-3707
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D71244
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035382500
—
MD
Enumeration date
08/29/2007
Last updated
01/18/2013
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