Healthcare Provider Details

I. General information

NPI: 1770614398
Provider Name (Legal Business Name): MUHAMMAD RAMZAN AKHTAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 03/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 LEXINGTON AVENUE SUITE #201
ASHLAND KY
41101
US

IV. Provider business mailing address

2301 LEXINGTON AVENUE SUITE #201
ASHLAND KY
41101
US

V. Phone/Fax

Practice location:
  • Phone: 606-329-0733
  • Fax:
Mailing address:
  • Phone: 606-329-0733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number20399
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number20399
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number20399
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: