Provider / Organization | NPI | Date Certified |
---|---|---|
SAMUEL ERIC AIKELE | 1407817984 | 2024-11-08 |
Samuel Eric Aikele is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407817984. Registration indicates Samuel Eric Aikele is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Anesthesiology (Anesthesiology, ) (All Other Specialties & Provider Types, ) (Anesthesiology, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Anesthesiology) (Anesthesiology, ) (All Other Specialties & Provider Types, ) (Anesthesiology, Allopathic & Osteopathic Physicians)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Samuel Eric Aikele MD |
Practice Office Address | 801 W MAPLE ST FARMINGTON, NM US |
Practice Office Telephone | 5056092000 |
Mailing Address | PO BOX 844088 DALLAS, TX 752844088 US |
Business Telephone | 5056092258 |
Business Fax | 5056092259 |
Address | City / State | Phone / Fax |
---|---|---|
129 W Lake Mead Pkwy #B-18 | Henderson, NV 890157055 | 7025644440 / 7025581522 |
Code | Practice | License No State |
---|---|---|
207L00000X | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology All Other Specialties & Provider Types Anesthesiology Allopathic & Osteopathic Physicians | 11952
NV |
207L00000X PRIMARY | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology All Other Specialties & Provider Types Anesthesiology Allopathic & Osteopathic Physicians | MD2023-0636
NM |
100510473 | MEDICAID | NV |