Healthcare Provider Details

I. General information

NPI: 1881270593
Provider Name (Legal Business Name): MASOUD AKBARI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 CALKINS RD
FLINT MI
48532-3500
US

IV. Provider business mailing address

1349 WINDING RIDGE DR APT 3A
GRAND BLANC MI
48439-7571
US

V. Phone/Fax

Practice location:
  • Phone: 810-275-0661
  • Fax:
Mailing address:
  • Phone: 478-318-6774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: