Healthcare Provider Details

I. General information

NPI: 1649359555
Provider Name (Legal Business Name): BISHER AKIL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 5TH AVE FL 3
NEW YORK NY
10016-8728
US

IV. Provider business mailing address

245 5TH AVE FL 3
NEW YORK NY
10016-8728
US

V. Phone/Fax

Practice location:
  • Phone: 212-929-2629
  • Fax: 212-929-4971
Mailing address:
  • Phone: 212-929-2629
  • Fax: 212-929-4971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA42129
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: