Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD470634 | PA |
NPI | 1033562749 |
---|---|
Provider Name | Dr. Jawed Akhtar |
First Address | Danville, PA 17822-4903 |
Second Address | Lewistown, PA 17044-1167 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2016 |
Last Update Date | 11/02/2021 |