Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 200001458 | NC |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 200001458 | NC |
NPI | 1053372474 |
---|---|
Provider Name | Dr. Ali Akbary |
First Address | Winston Salem, NC 27157-0001 |
Second Address | High Point, NC 27262-4341 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 31/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89127X6 | (05) | NC |
G08843 | (02) | NC |
NCT210B | MEDICARE PTAN (01) | NC |
P00655169 | RR MEDICARE (01) | NC |