Healthcare Provider Details

I. General information

NPI: 1508785536
Provider Name (Legal Business Name): BISMA AKRAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 N LA CHOLLA BLVD
TUCSON AZ
85741-3529
US

IV. Provider business mailing address

1980 W HOSPITAL DR STE 210
TUCSON AZ
85704-7804
US

V. Phone/Fax

Practice location:
  • Phone: 520-545-0571
  • Fax:
Mailing address:
  • Phone: 520-545-0571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberR82878
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: