Healthcare Provider Details

I. General information

NPI: 1629701396
Provider Name (Legal Business Name): MOHAMMED ZEESHAN AKHTAR MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUSTAVE LEVY PLACE
NEW YORK CITY NY
10029
US

IV. Provider business mailing address

1468 MADISON AVE
NEW YORK NY
10029-6508
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-8086
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number3862622
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: