Basic Information
| Provider Information | |||||||||
| NPI: | 1093767899 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AKBAR | ||||||||
| FirstName: | MUHAMMAD | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | N16W24131 RIVERWOOD DR | ||||||||
| Address2: | |||||||||
| City: | WAUKESHA | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531881106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2626930808 | ||||||||
| FaxNumber: | 2626960965 | ||||||||
| Practice Location | |||||||||
| Address1: | N16W24131 RIVERWOOD DR | ||||||||
| Address2: | |||||||||
| City: | WAUKESHA | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531881106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2626930808 | ||||||||
| FaxNumber: | 2626960965 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 47844-020 | WI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RP1001X | 47844-20 | WV | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207RP1001X | 47844 | WI | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | 34843500 | 05 | WI | MEDICAID |