Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 10007 | AZ |
NPI | 1013981067 |
---|---|
Provider Name | Dr. M. Jamil Akhtar |
First Address | Tempe, AZ 85283-1544 |
Second Address | Tempe, AZ 85283-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 04/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
259417 | (05) | AZ |
E00168 | (02) | AZ |