Provider Demographics
NPI:1194784181
Name:AKBIK, FAWAZ F (MD)
Entity type:Individual
Prefix:DR
First Name:FAWAZ
Middle Name:F
Last Name:AKBIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 90518
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30364-0518
Mailing Address - Country:US
Mailing Address - Phone:404-761-3525
Mailing Address - Fax:404-766-3696
Practice Address - Street 1:1136 CLEVELAND AVE
Practice Address - Street 2:STE 519
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-3618
Practice Address - Country:US
Practice Address - Phone:404-761-3525
Practice Address - Fax:404-766-3696
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA028704207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000330206BMedicaid
GAD28766Medicare UPIN