Healthcare Provider Details

I. General information

NPI: 1457631368
Provider Name (Legal Business Name): JAVED AKHTAR CRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2011
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7424 MOUNTAIN THICKET ST
LAS VEGAS NV
89131-4542
US

IV. Provider business mailing address

7424 MOUNTAIN THICKET ST
LAS VEGAS NV
89131-4542
US

V. Phone/Fax

Practice location:
  • Phone: 702-401-3769
  • Fax:
Mailing address:
  • Phone: 702-401-3769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278G1100X
TaxonomyGeneral Care Certified Respiratory Therapist
License NumberRC1838
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: