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NPI Code Detail

MEDICARE: JEFFREY M AKHTAR DO

MEDICARE: JEFFREY M AKHTAR DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician954SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053370841
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY M AKHTAR DO
Provider Business Mailing Address
First Line : PO BOX 13955
Second Line :
City : CHARLESTON
State : SC
Zip : 29422-3955
Country : US
Telephone Number : 843-225-8308
Fax Number : 843-225-3549
Provider Business Practice Location Address
First Line : 2270 ASHLEY CROSSING DR STE 155
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5749
Country : US
Telephone Number : 843-225-8308
Fax Number : 843-225-3549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 02/05/2018

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