1396751913 NPI number — M. NAYEEM AKHTAR, M.D., P.C.

Table of content: (NPI 1396751913)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396751913 NPI number — M. NAYEEM AKHTAR, M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
M. NAYEEM AKHTAR, M.D., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396751913
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/28/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
329 ARCH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUNBURY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17801-2212
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-286-4200
Provider Business Mailing Address Fax Number:
570-286-4029

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
329 ARCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUNBURY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17801-2212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-286-4200
Provider Business Practice Location Address Fax Number:
570-286-4029
Provider Enumeration Date:
08/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CRISSINGER
Authorized Official First Name:
KELLY
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
570-286-4200

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  MD047557L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0007682100003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 071904 . This is a "HIGHMARK BS IND. NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7991768 . This is a "GATEWAY HEALTH PLAN #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P00257241 . This is a "RAILROAD MEDICARE IND. #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1386458 . This is a "HIGHMARK BS GROUP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50053124 . This is a "CAPITAL BC IND. NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 02882100 . This is a "CAPITAL BC GROUP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 01018301 . This is a "CAPITAL BC IND. NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2830222 . This is a "AETNA INDIVIDUAL NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 742235 . This is a "HIGHMARK BS IND. NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 20558-1012 . This is a "GEISINGER IND. NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5549161 . This is a "AETNA INDIVIDUAL NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 8722-1012 . This is a "GEISINGER IND. NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0019133700004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100016274 . This is a "RAILROAD MEDICARE IND. #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com