Akalu, Masresha G

Akalu, Masresha G is an individual health care provider with primary practice located at 2122 N Craycroft Rd Suite 102, Tucson AZ 85712-2849. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Akalu, Masresha G can be contacted via phone (520) 722-2400.

Contact Information

Primary practice address
2122 N Craycroft Rd Suite 102 Tucson AZ 85712-2849
Fax: (520) 323-7531
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN145993 Arizona

Profile Details

NPI number 1558634709
LBN Legal business name Akalu, Masresha G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2012
Last updated Mar 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558634709 NPPES
Arizona MEDICAID 684438

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