Healthcare Provider Details

I. General information

NPI: 1154401347
Provider Name (Legal Business Name): NAEEM AKHTAR MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 E ALMOND AVE STE 103
MADERA CA
93637-5562
US

IV. Provider business mailing address

451 E ALMOND AVE STE 103
MADERA CA
93637-5562
US

V. Phone/Fax

Practice location:
  • Phone: 559-673-4000
  • Fax:
Mailing address:
  • Phone: 559-673-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number00A450510
License Number StateCA

VIII. Authorized Official

Name: MISS CORALIE BOHNISCH
Title or Position: MANAGER
Credential:
Phone: 559-673-4000