Basic Information
| Provider Information | |||||||||
| NPI: | 1801994983 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AKBAR | ||||||||
| FirstName: | MUHAMMAD | ||||||||
| MiddleName: | ZABED | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 515 N MIRANDA AVE | ||||||||
| Address2: | P.O. BOX 548 | ||||||||
| City: | GEORGIANA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 360334519 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3343762291 | ||||||||
| FaxNumber: | 3343763657 | ||||||||
| Practice Location | |||||||||
| Address1: | 125 CHURCH STREET | ||||||||
| Address2: | |||||||||
| City: | GEORGIANA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 36033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3343762291 | ||||||||
| FaxNumber: | 3343763657 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 01/04/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 00027542 | AL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 543424003 | 05 | AL | MEDICAID | 51546135 | 01 | AL | BCBS | OTHER |