Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 5931 | OK |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 310012 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | DO2666 | NV |
NPI | 1063892560 |
---|---|
Provider Name | Dr. Imran Akhtar |
First Address | Las Vegas, NV 89121-3609 |
Second Address | Albany, NY 12205-1474 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2015 |
Last Update Date | 09/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
310012 | NY LICENSE (01) | NY |
DO2666 | NV LICENSE (01) | NV |