Healthcare Provider Details

I. General information

NPI: 1821358748
Provider Name (Legal Business Name): WARQAA M AKRAM M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2012
Last Update Date: 06/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MOYE BLVD
GREENVILLE NC
27834-4300
US

IV. Provider business mailing address

12203 HUNTERS LN
ROCKVILLE MD
20852-2247
US

V. Phone/Fax

Practice location:
  • Phone: 252-744-4110
  • Fax: 252-744-5777
Mailing address:
  • Phone: 202-507-3406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number238214
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: