Individual
ATIYE AKTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST # N5W40, BALTIMORE, MD 21201
(410) 328-7373
(410) 328-7305
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
35090720
OH
207RG0100X
Gastroenterology Physician
39262020
WI
2080P0206X
Pediatric Gastroenterology Physician
Primary
D86713
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230990
UNISON
OH
01
—
000000550668
ANTHEM
OH
05
—
1023728120001
—
PA
05
—
2781566
—
OH
05
—
32523600
—
WI
01
—
421769
WELLCARE
OH
01
—
5434452
AETNA
OH
01
—
752760
BUCKEYE
OH
Enumeration date
03/02/2006
Last updated
07/09/2019
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