Provider Demographics
NPI:1588055172
Name:NAOMI AKITA, MD
Entity type:Organization
Organization Name:NAOMI AKITA, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI,
Authorized Official - Middle Name:
Authorized Official - Last Name:AKITA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-709-2436
Mailing Address - Street 1:2905 JORDAN CT
Mailing Address - Street 2:SUITE G
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-8976
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5385 CHELSEN WOOD DR
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-2435
Practice Address - Country:US
Practice Address - Phone:678-709-2436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA070847207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1871560847Medicare UPIN