Basic Information
| Provider Information | |||||||||
| NPI: | 1508027434 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AKBAR | ||||||||
| FirstName: | SAFDAR | ||||||||
| MiddleName: | ALI | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1202 BAKER PL S | ||||||||
| Address2: | APT 14 | ||||||||
| City: | FREDERICK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217024623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5019606635 | ||||||||
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| Practice Location | |||||||||
| Address1: | 234 E 149TH ST | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104515504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185796010 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2008 | ||||||||
| LastUpdateDate: | 12/24/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 30735 | WV | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207PS0010X | 249018 | NY | N | Allopathic & Osteopathic Physicians | Emergency Medicine | Sports Medicine | 207P00000X | 249018 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.