Healthcare Provider Details

I. General information

NPI: 1700960788
Provider Name (Legal Business Name): SHAFQAT M. AKHTAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 LIBERTY PKWY STE 200
RED BLUFF CA
96080-4350
US

IV. Provider business mailing address

2340 LIBERTY PKWY STE 200
RED BLUFF CA
96080-4350
US

V. Phone/Fax

Practice location:
  • Phone: 530-529-6010
  • Fax: 530-527-7308
Mailing address:
  • Phone: 530-529-6010
  • Fax: 530-527-7308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberA45081
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: