Provider Demographics
NPI:1053372334
Name:INCE, AKGUN (MD)
Entity type:Individual
Prefix:
First Name:AKGUN
Middle Name:
Last Name:INCE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:522 N NEW BALLAS RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6857
Mailing Address - Country:US
Mailing Address - Phone:314-567-5100
Mailing Address - Fax:314-567-3387
Practice Address - Street 1:522 N NEW BALLAS RD
Practice Address - Street 2:SUITE 240
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6857
Practice Address - Country:US
Practice Address - Phone:314-567-5100
Practice Address - Fax:314-567-3387
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2012-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO105584207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOG89561OtherMERCY
MOG89561OtherGREAT WEST
MOG89561OtherPHCS
MO203962410Medicaid
MO3200034OtherUNITED HEALTH CARE
MO393877OtherHEALTHLINK
MO5098643OtherAETNA
MOG89561OtherCIGNA
MO114376OtherBLUE CROSS BLUE SHIELD
MO5098643OtherAETNA
MOG89561OtherCIGNA