Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101249467 | VA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D0068852 | MD |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD-48373 | IA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD038083 | DC |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | P6311 | TX |
NPI | 1417150202 |
---|---|
Provider Name | Dr. Omar H Akhtar |
First Address | Cedar Rapids, IA 52403-2414 |
Second Address | Cedar Rapids, IA 52403-2414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 11/08/2021 |