Provider Demographics
NPI:1154380145
Name:AKL, MICHEL ELIAS (MD)
Entity type:Individual
Prefix:
First Name:MICHEL
Middle Name:ELIAS
Last Name:AKL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 W STATE ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1858
Mailing Address - Country:US
Mailing Address - Phone:716-373-7440
Mailing Address - Fax:716-373-5725
Practice Address - Street 1:806 S DOUGLAS RD STE 101
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3157
Practice Address - Country:US
Practice Address - Phone:305-223-3577
Practice Address - Fax:305-552-7940
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME6071997207KA0200X
PAMD044201-L207KA0200X
NY198486-L207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000523044003OtherOLEAN BC/BS OF WNY
NY000523044002OtherJAMESTOW BC/BS WNY
NY00020526301OtherUNIVERA
NY000523044002OtherJAMESTOW BC/BS WNY