Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101247280 | VA |
NPI | 1003017682 |
---|---|
Provider Name | Dr. Nauman J Akhtar |
First Address | Leesburg, VA 20176-2704 |
Second Address | Leesburg, VA 20176-2700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 15/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003017682 | (05) | VA |