Provider Demographics
NPI:1902673726
Name:IMAD AKEL MD INC
Entity type:Organization
Organization Name:IMAD AKEL MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:IMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-518-6706
Mailing Address - Street 1:6835 NEVADA CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-7597
Mailing Address - Country:US
Mailing Address - Phone:832-518-6706
Mailing Address - Fax:
Practice Address - Street 1:7950 CHERRY AVE STE 105
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-4023
Practice Address - Country:US
Practice Address - Phone:909-434-1657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty