Healthcare Provider Details

I. General information

NPI: 1457330466
Provider Name (Legal Business Name): MAHBUBA AKHTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 BYRN ST STE 2
CAMBRIDGE MD
21613-1917
US

IV. Provider business mailing address

105 AURORA ST
CAMBRIDGE MD
21613-1903
US

V. Phone/Fax

Practice location:
  • Phone: 410-221-7770
  • Fax: 410-221-7863
Mailing address:
  • Phone: 410-228-4902
  • Fax: 410-228-3009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD63359
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD0063359
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: