Provider Demographics
NPI:1053020917
Name:AKBIYIKIAN, ELIZABETH A
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:A
Last Name:AKBIYIKIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8615 N TALLADEGA WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-5335
Mailing Address - Country:US
Mailing Address - Phone:209-829-9461
Mailing Address - Fax:
Practice Address - Street 1:8615 N TALLADEGA WAY
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-5335
Practice Address - Country:US
Practice Address - Phone:209-829-9461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist