Provider Demographics
NPI:1992741979
Name:AKRA, IKHLAS Y (MD)
Entity type:Individual
Prefix:DR
First Name:IKHLAS
Middle Name:Y
Last Name:AKRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:125 W THOUSAND OAKS BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4462
Mailing Address - Country:US
Mailing Address - Phone:805-777-3500
Mailing Address - Fax:
Practice Address - Street 1:1520 SAN PABLO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-5310
Practice Address - Country:US
Practice Address - Phone:323-442-5955
Practice Address - Fax:323-442-5953
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2021-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA885352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry