Provider Demographics
NPI:1487082095
Name:AKSU, FATIH (PA-C)
Entity type:Individual
Prefix:
First Name:FATIH
Middle Name:
Last Name:AKSU
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 MEADOWBROOKE LN
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-2561
Mailing Address - Country:US
Mailing Address - Phone:813-504-1966
Mailing Address - Fax:
Practice Address - Street 1:1301 MEADOWBROOKE LN
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-2561
Practice Address - Country:US
Practice Address - Phone:813-504-1966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant