Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | BP10054551 | TX |
NPI | 1316314909 |
---|---|
Provider Name | Aisha Akhtar |
First Address | Lubbock, TX 79415-5360 |
Second Address | Houston, TX 77030-3722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2015 |
Last Update Date | 02/08/2016 |