Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 61348 | WI |
Y | 208200000X | Surgeon | 2016-02426 | NC |
Y | 208600000X | Surgeon | 2016-02426 | NC |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 61348-20 | WI |
NPI | 1114998044 |
---|---|
Provider Name | Dr. Shahab A Akhter |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-8982 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 25/11/2020 |