Healthcare Provider Details

I. General information

NPI: 1417919952
Provider Name (Legal Business Name): SAJID M AKHTAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 02/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 SAINT SEBASTIAN WAY STE 300
AUGUSTA GA
30901-2651
US

IV. Provider business mailing address

818 ST SEBASTIAN WAY STE 300
AUGUSTA GA
30901
US

V. Phone/Fax

Practice location:
  • Phone: 706-722-0186
  • Fax: 706-722-0290
Mailing address:
  • Phone: 706-722-0186
  • Fax: 706-722-0290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number056257
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: