Grant Iheanyi Akalonu, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cincinnati, OH
NPI 1386495026 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1386495026
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 7500 State Rd
Cincinnati, OH 45255-2439 - Phone
- (513) 624-4500
- NPI assigned
- Apr 1, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240806000746 | OH | Order and Referring Only - Family Practice |
6103363379 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
7500 State Rd
Cincinnati, OH 45255-2439
Mailing address
7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500
Other providers in Cincinnati, OH
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- Godbless Ajenaghughrure
- August Nikita Ajewole
- Muhammad Ajmal
- Ak Corporation
- Catherine Konge Akama-Dibo
- Emmanuel Masango Akama-Dibo
- Kavya Akella
- Morgan Akers
- Kelly Akes
All providers in Cincinnati, OH · Student in an Organized Health Care Education/Training Program in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.