Healthcare Provider Details
I. General information
NPI: 1851101869
Provider Name (Legal Business Name): MUHARREM AK
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1915 EISENHOWER DR
SAVANNAH GA
31406-5098
US
IV. Provider business mailing address
1915 EISENHOWER DR
SAVANNAH GA
31406-5098
US
V. Phone/Fax
- Phone: 912-356-2008
- Fax:
- Phone: 912-356-2008
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 1207 |
| License Number State | GA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: