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
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | WA044535 | MI | Y |   | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |   |
ID Information
ID | Type | State | Issuer | Description | 2118995 | 05 | MI |   | MEDICAID | 200001360 | 01 |   | MEDICARE RAILROAD | OTHER | P60392 | 01 | MI | BLUE CARE NETWORK | OTHER | 07311301 | 01 | MI | BLUE CROSS BLUE SHIELD | OTHER | DG5210 | 01 |   | RAILROAD MEDICARE | OTHER | 0044535 | 01 | MI | HEALTH PLUS | OTHER |