Healthcare Provider Details

I. General information

NPI: 1629129382
Provider Name (Legal Business Name): AAFAQUE AKHTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 E MAIN ST
NORTON MA
02766-2307
US

IV. Provider business mailing address

PO BOX 670700
FLUSHING NY
11367-0700
US

V. Phone/Fax

Practice location:
  • Phone: 508-662-1052
  • Fax:
Mailing address:
  • Phone: 508-285-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number101268250
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number215637
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: