Provider Demographics
NPI:1083448104
Name:AKALU, DAWIT
Entity type:Individual
Prefix:
First Name:DAWIT
Middle Name:
Last Name:AKALU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5314 HERFORD DR
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-6521
Mailing Address - Country:US
Mailing Address - Phone:214-686-9547
Mailing Address - Fax:
Practice Address - Street 1:5314 HERFORD DR
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-6521
Practice Address - Country:US
Practice Address - Phone:214-686-9547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX816616163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health