Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD60544560 | WA |
Y | 207RH0002X | Hospice and Palliative Medicine | 0101273013 | VA |
N | 207RH0002X | Hospice and Palliative Medicine | MD60544560 | WA |
N | 207RH0002X | Hospice and Palliative Medicine | NOTAPPLICABLE | IL |
NPI | 1376804054 |
---|---|
Provider Name | Khan Owais Akmal |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-3404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2012 |
Last Update Date | 02/11/2021 |