Provider Demographics
NPI:1154192482
Name:AKABANI, ARY Y
Entity type:Individual
Prefix:
First Name:ARY
Middle Name:Y
Last Name:AKABANI
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 1:401 BRIARFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-2712
Mailing Address - Country:US
Mailing Address - Phone:415-707-9533
Mailing Address - Fax:
Practice Address - Street 1:401 BRIARFIELD WAY
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-2712
Practice Address - Country:US
Practice Address - Phone:650-369-4598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)