Basic Information
Provider Information
NPI: 1447255971
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKBAR
FirstName: WAHEED
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4701 TOWNE CTR
Address2: STE 303
City: SAGINAW
State: MI
PostalCode: 486042833
CountryCode: US
TelephoneNumber: 9897906719
FaxNumber: 9897909464
Practice Location
Address1: 4701 TOWNE CTR
Address2: STE 303
City: SAGINAW
State: MI
PostalCode: 486042833
CountryCode: US
TelephoneNumber: 9897906719
FaxNumber: 9897909464
Other Information
ProviderEnumerationDate: 06/21/2005
LastUpdateDate: 04/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XWA044535MIY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
211899505MI MEDICAID
20000136001 MEDICARE RAILROADOTHER
P6039201MIBLUE CARE NETWORKOTHER
0731130101MIBLUE CROSS BLUE SHIELDOTHER
DG521001 RAILROAD MEDICAREOTHER
004453501MIHEALTH PLUSOTHER


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