Basic Information
Provider Information
NPI: 1427331248
EntityType: 2
ReplacementNPI:  
OrganizationName: NADIA AKHMED MD INTERNAL MEDICINE LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 12335
Address2:  
City: BELFAST
State: ME
PostalCode: 049154014
CountryCode: US
TelephoneNumber: 4434816480
FaxNumber: 4434816515
Practice Location
Address1: 3168 BRAVERTON ST
Address2: 330
City: EDGEWATER
State: MD
PostalCode: 210372674
CountryCode: US
TelephoneNumber: 4109563090
FaxNumber: 4109563063
Other Information
ProviderEnumerationDate: 09/28/2011
LastUpdateDate: 03/04/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: AKHMED
AuthorizedOfficialFirstName: NADIA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PHYSICIAN/OWNER
AuthorizedOfficialTelephone: 4434816464
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home