Basic Information
Provider Information
NPI: 1306193263
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKBAR
FirstName: MUHAMMAD
MiddleName: RIZWAN
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1320
Address2:  
City: SAINT ALBANS
State: WV
PostalCode: 251771320
CountryCode: US
TelephoneNumber: 3043881724
FaxNumber: 3043881721
Practice Location
Address1: 3200 MACCORKLE AVE SE
Address2: SUITE B16
City: CHARLESTON
State: WV
PostalCode: 253041227
CountryCode: US
TelephoneNumber: 3043885848
FaxNumber: 3043889654
Other Information
ProviderEnumerationDate: 08/10/2012
LastUpdateDate: 07/24/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X26410WVY Allopathic & Osteopathic PhysiciansHospitalist 
207Q00000X26410WVN Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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