Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | L2083 | TX |
NPI | 1124060124 |
---|---|
Provider Name | Dr. Syed Usama Akhtar |
First Address | Dallas, TX 75391-1230 |
Second Address | Beaumont, TX 77702-1449 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 31/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101757604 | CSHCN (01) | TX |
146653401 | (05) | TX |
146653402 | (05) | TX |
146653403 | (05) | TX |
146653404 | (05) | TX |
8R1382 | BLUE CROSS OF TEXAS (01) | TX |
G44179 | (02) |